Registration Proforma

Under the Mask 2011

Conference Registration Form

Personal Details

Name:
Title: Affiliation (academic or professional, or none):
Address:

Post Code
Country:
E-mail:
Mobile Phone:
Planned date of arrival:

Registration Type

Full delegates - £20
NUS Students - £10
Academic Staff - £10
University of Beds Staff, Students, Alumni - Free
Delegate presenters - Free
Organizers and Support Staff - Free

(Please mark only one. All cheques payable to ‘University of Bedfordshire’.)

Delegate Presenters

Do you have any special presentation requirements? :

Other Issues

Do you have any issues of access, mobility or disability that you wish the conference organizers to be aware of? :

Please note registration covers participation in the academic events of the conference. It does not include accommodation, travel, etc. Please see this site for more information on accommodation.

Please return this form to:

Under the Mask: Perspectives on the Gamer 2010
C/o Alison Gazzard, Rm C101, School of Media, Art & Design
University of Bedfordshire, Park Square, Luton LU1 3JU, UK

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