BMVC2000                     
The Eleventh British Machine Vision Conference
Delegate Registration Form: Lower fee before August 4th

Please complete this form in BLOCK CAPITALS and return to:

Mrs. Ann Prowse, University of Bristol, Department of Computer Science, Woodland Road, Bristol, BS8 1UB.
Telephone 0117 954 5130 Facsimile: 0117 954 5208 E-mail: A.Prowse@cs.bris.ac.uk
to be received no later than Monday 28th August 2000.

Name __________________________________________________ Title __________

Organisation ___________________________________________________________

Address ________________________________________________________________

_______________________________________________________________________

_______________________________________ Post Code ______________________

Tel: _________________________________ Fax: _____________________________

E-mail ________________________________________________________________

Special Dietary Requirements ____________________________________________

Car Parking __________________Y/N       Male/Female___________________M/F

Registration includes: Conference Proceedings, CD, Conference Dinner and
   Residential = accommodation for the nights 11, 12, 13 September + all meals
   Non-Residential = lunch only

Accommodation has been reserved in the Halls of Residence on the Bristol University campus.
All rooms are single study bedrooms, some with en suite facilities. Standard rooms have washing facilities but share toilet and showers with other bedrooms.

# If you are a Student, please ask your Supervisor to complete:
I confirm that the above person is a bona fide full-time sutdent under my supervision

Signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Registration Fees*

After August 4th

To Pay

Accommodation with en suite

�420.00

Standard accommodation

�380.00

Non residents fee

�320.00

Tutorial (free to students)#

�40.00

SUB TOTAL

   

Plus 2% Credit Card Handling Fee

   

OR Plus �5.00 Invoice Handling Fee

   

OR Plus �6.00 Bank Transfer Handling Fee

   

OR no extras if paying by cheque

   

TOTAL ENCLOSED/TO FOLLOW

 

* Cost of BMVA membership for 2001 is automatically included for ALL attendees.

Methods of Payment (please circle 1 or 2 or 3 or 4)

1- Payment by cheque in Pounds Sterling made payable to BMVC2000

2- Payment by Visa, Mastercard, Access or Euro card:

Cardholder Name __________________________________________________________

Card Number ________________________________________ Expiry Date __________
Payment by Credit Card is subject to a Handling Fee of 2%.

3- Payment by Bank Transfer to National Westminister Bank, PO Box 188, 40 Queen's Rd,
    Bristol, BS99 5AD Sort Code 60-17-12 Account Number 29835976
    Please add �6.00 Bank Transfer Fees plus any fees charged by your own account.

4- Payment by Invoice to Company/Institution, please state full name & address required on invoice

________________________________________________________________________

________________________________________________________________________

Payment by Invoice is subject to a 5.00 Handling Fee