Application Form

This is a preliminary application form to be sent to Ed Goode at PTES.  Once the speaker programme has been finalised we will contact you again with further details.

Many thanks for your participation in this conference and we look forward to hearing from you.

Name: 		

Title/Occupation: 	

Address: 		

City: 			

Post Code		

Country		

Telephone Number: 

Fax Number:	

E-mail:		

I would require:  (please tick as appropriate)

•	En suite full board (limited availability)	£151
•	Standard full board				£132
•	Conference only				£60
•	Conference and banquet dinner		£75

I am interested in: (please tick as appropriate)

•	Giving a presentation (please give details)
•	Producing a poster (please give details)
•	Attending the conference only.

Please write some notes that describe your main interests in this area.  If you are willing to give a presentation please write a short summary of your topic.

The proceedings of the conference will be published and we would require one A4 side summary of your talk to be included