34th ESGI REGISTRATION FORM

THE 34th EUROPEAN STUDY GROUP
with
INDUSTRY HAS FINISHED

Name and title
                                                  
Address


  
Telephone number
  
Fax
  
Email
  
Date of arrival*
  
Date of departure*
  
Dietary or other special requirements
  
Comments (if any)

  
*If you do not wish to book a single room for all the nights from the date of arrival to the date of departure, please say so in the comments box.

NON-UK ACADEMICS

Method of payment (Fee £ 300): Eurocheque/Cheque/Bankers draft (delete as appropriate).

Cheques should be made payable to Heriot-Watt University.
Please add £ 15 when paying by cheque, unless drawn from a UK bank account.

After printing and completing this form, please return it as soon as possible (by 26th February 1999) with completed payment details (if non-UK academic) to:

Professor A.A.Lacey
Department of Mathematics				Tel +44 (0) 131-451 3228
Heriot-Watt University					Fax +44 (0) 131-451 3249
Riccarton, Edinburgh,				     Email A.A.Lacey@ma.hw.ac.uk
EH14 4AS, UK