Flotation '17 - Registration Form

Please fill in this form and email to jon@min-eng.com

Name:
Title (Prof., Dr., etc.):
Name to appear on delegate badge:
Organisation:
Address:
City
Postcode/Zip:     Country:
Telephone:
Fax:
Email:

 

Please register me as follows:
November 13-16: Full Conference
Non-author (£975):
Author (£845):
Student¹ (£695):

November 13-14: Flotation Fundamentals: Physics and Chemistry
Non-author (£570):
Author (£495):
Student¹ (£395):

November 15-16: Flotation Applications and Plant Practice
Non-author (£570):
Author (£495):
Student¹ (£395):

Gala Dinner tickets are complimentary to delegates attending for 4 days, please tick here if you require one:

Gala Dinner tickets cost £50 if you are attending for 2 days, or if you require one for your accompanying guest. Please indicate how many tickets you require: at a cost of:

Total Payment:

Payment: Cheques (in £UK) should be made payable to "Minerals Engineering International". If you wish to pay by credit card , please supply the following details:

Type of Credit Card:

VISA:   Mastercard:  
Number: Signiture Panel Code
3 Digit Signature Panel Code:
Expiry Date:
Signature:

Cancellations
Cancellations received before 5 October 2017 will be subject to an administration charge of £75. Refunds cannot be made to those who cancel after this date. Substitutions may be made at any time.

¹Student registration should be accompanied by certification from Head of Department