PLANSIG 2001, University of Edinburgh, 12-14th December 2001 Registration Form Name: ...................................................... Organisation: .............................................. Address: ................................................... ................................................... ................................................... Email: ..................................................... I will be attending: Event Cost PLANET Gap-Bridging Seminar, 12th December [ ] FREE PLANSIG 2001 Workshop, 13-14th December [ ] 60.00 UK pounds PLANSIG 2001 Workshop Dinner, 13th December [ ] 30.00 UK pounds Special dietary requirements (e.g. vegetarian): ................... Method of payment: cheque [ ] VISA [ ] Mastercard [ ] *** Please make cheques payable to "University of Edinburgh" *** Credit card details: Card number: ................................ Card valid from: ............ to ............ Amount to be charged: ....................... Name of cardholder: ........................................ Signature of cardholder: ................................... Please register me for PLANSIG 2001. Signature: Date: To register, please fax or mail this form with payment to: Jennie Camps-Douglas, PLANSIG 2001, Division of Informatics, 80 South Bridge, Edinburgh EH1 1HN, Scotland, UK. Fax: +44 (0)131 650 6513