Fifteenth Annual UK Performance Engineering Workshop 22-23rd July, 1999 + UKPEW'99 Registration Form + Please print out this form and return with payment to the address below. Alternatively, if paying by credit card, you may fax the form to +44 117 903-9001; please mark your fax "FAO: Adam Stephens, UKPEW'99 Registration". Please return as soon as possible. (We do not recommend that you use email.) Mr Adam Stephens UKPEW'99 Registration SRF/PACT University Gate Park Row Bristol BS1 5UB UNITED KINGDOM PEOPLE NAME: ____________________________________________________ EMAIL ADDRESS: ___________________________________________ CONTACT PHONE NUMBER: ____________________________________ NAME: ____________________________________________________ EMAIL ADDRESS: ___________________________________________ CONTACT PHONE NUMBER: ____________________________________ NAME: ____________________________________________________ EMAIL ADDRESS: ___________________________________________ CONTACT PHONE NUMBER: ____________________________________ AFFILIATION ORGANISATION: ____________________________________________ ORGANISATION ADDRESS: ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ REGISTRATION TYPE Number of Type A @ ukp 106.00 each: ____ Number of Type B @ ukp 121.00 each: ____ Number of Type C @ ukp 88.00 each: ____ Number of Type D @ ukp 127.00 each: ____ Number of Type E @ ukp 150.00 each: ____ Option A: Registration + Two nights accommodation (21st/22nd July) + Conference Dinner (22nd July) Option B: Registration + Two nights accommodation with private bathroom (21st/22nd July) + Conference Dinner (22nd July) Option C: Registration + No accomodation + Conference Dinner (22nd July) Option D: Registration + Three nights accommodation (21st-23rd July) + Conference Dinner (22nd July) - ukp 127.00 Option E: Registration + Three nights accommodation with private bathroom (21st-23rd July) + Conference Dinner (22nd July) - ukp 150.00 ADDITIONAL NOTES (Please add any dietary requirements here, along with any comments or questions you may have) ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ METHOD of PAYMENT TOTAL AMOUNT OF MONEY: ukp _______________________________ CREDIT CARD TYPE: A - VISA B - MASTERCARD (*) CARD NAME: __________________________________________ CARD NUMBER: ________/________/________/________ CARD EXPIRY DATE: ____/____ (*) Please select one of the options, A or B. CHEQUE Please make cheques payable to: "University of Bristol". They must be made out in Pounds Sterling (ukp) and drawn on a UK bank. Further information about UKPEW'99 can be obtained from the UKPEW web site at: http://www.cs.bris.ac.uk/Events/UKPEW1999/ If you have any questions or comments regarding the workshop then please email: ukpew99@cs.bris.ac.uk