Scottish and Northumbrian Statistician’s Meeting

University of Newcastle Upon Tyne – 20th May 2005

REGISTRATION FORM
(NOTE: There are both Individual and Department Block Booking Forms – please check that you have not been included in a Block Booking from your department)

The registration fee for the meeting is £30 and includes a light lunch and refreshments.  Please post the completed form with a cheque payable to the University of Newcastle Upon Tyne, to;

Maxine Lennon (S&N Meeting)
School of Mathematics and Statistics
University of Newcastle Upon Tyne
NE1 7RU

NOTE:  Registration forms should arrive no later than Friday 6th May 2005.

NAME (Capitals)	……………………………………………………………………….

PREFERRED 
NAME ON BADGE	………………………………………………………………………

INSTITUITON		………………………………………………………………………

ADDRESS		……………………………………………………………………..

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EMAIL ADDRESS	…………………………………………………………………….

Please state any 
dietary requirements 
for lunch		……………………………………………………………………

I enclose a cheque for £30 made payable to the University of Newcastle Upon Tyne

SIGNATURE		………………………………

DATE			………………………………