Registration
Personal Details
Title:
First Name:
Family name:
Address:
Country:
Phone:
Fax:
Email:
Organisation:
Department:
   
Registration Fee
Fee
Price
Early Registration (before April 1, 2006)
€ 375.00
Late Registration (after April 1, 2006)
€ 450.00
On-site Registration
€ 525.00
Early Registration - Student Rate
€ 100.00
Late / On-site Registration - Student Rate
€ 150.00
Accommodation Details
Accommodation
Price
 
Galway Harbour Hotel (single room B&B)
€ 92.00
Galway Harbour Hotel (double room B&B, per person)
€ 70.00
Jury's Inn (single room. B&B)
€ 108.00
Jury's Inn (double room. B&B)
€ 108.00
Arrive Date:
Departure Date:
No of Persons:
No of Nights:
* Please Press ReCalculate if you have changed
the Number of Persons or Nights.
Name of Person Sharing:

Please enter any requests
ie. Special Dietary Requirements

 
Extra Comments / Requirements
Total
Total Amount: