5th UK Embedded Forum
Registration Form

Prof. M. Pont
5th UK Embedded Forum Registration,
Embedded Systems Laboratory,
University of Leicester,
University Road,
Leicester, LE1 7RH.

EMail: m.pont@le.ac.uk

Please print, complete (using block capitals) and return this form to the above address as soon as possible (but no later than 9th September 2009), together with the registration fee.

There are two registration options (please delete as appropriate) :-

Option A : £40 covers Forum materials, dinner, and refreshments only. No accomodation provided.

Option B : £80 covers Forum materials, dinner, and refreshment, plus accomodation and breakfast for 1 night.

Only cheques can be accepted. Please make cheques payable to: "University of Leicester" .

Name:

Affiliation:

Address:

Email:

Tel:

Fax:

Special dietary requirements:

5th UK Embedded ForumRegistration Form

5th UK Embedded Forum
Registration Form