Haptic Human-Computer Interaction Workshop

31st August - 1st September, 2000

Application for Registration

When complete send or fax to:
Stephen Brewster
Department of Computing Science

University of Glasgow
Glasgow, G12 8QQ, UK
Fax: +44 (0)141 330 4913

Family Name:
First Name:
Academic Title (Prof, Dr, etc.):
Institution:
Address:
City:
Post/Zip Code:
Country:
Telephone:
Fax:
EMail:
Name to appear on conference badge:
Special Requirements:

Payment

The workshop costs £40. Payment can be made in one of three ways (please choose one):
  1. Cheque made payable to 'University of Glasgow' drawn in Pounds Sterling on a UK clearing bank
  2. Submission of purchase order against which an invoice may be raised
  3. Cash (this can be paid on the day but send in this registration form)

Declaration

I would like to apply for a place at the Haptic Human-Computer Interaction workshop.
Signature: Date:

Now please send or fax this to the address at the top of the page