BSRLM Conference Registration Form (Saturday 12 November 2016 - University of Brighton, Falmer Campus)
The list of conference delegates and name label stickers will be printed three days before the conference. If you register after this point, your name and details will not be included in the Delegates list.

The list of conference delegates will be made available in paper and electronic form to conference delegates. By submitting this form, you are indicating your willingness to have your details (i.e. names, affiliated institution, e-mail address and job title) included in both lists. If you do not wish this to happen, please contact the BSRLM Day Conference Organiser directly.
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Family Name *
First Name *
Affiliated Institution (e.g. University of Reading, etc.)
E-mail address *
How would you describe your job title? (e.g. Lecturer, Teacher, Independent consultant, Policy maker, Doctoral student, etc.) *
If you have paid for the conference registration fee electronically, please enter your PayPal Receipt No. below:
(To pay the fee, please go to the payment section at the bottom of http://www.bsrlm.org.uk/nextmeeting.html)
If you wish to pay for the conference registration fee by cheque, please confirm whether you:
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To attend the BSRLM conference, you must be a BSRLM member. Please indicate your membership status. *
Are you already on the BSRLM mailing list?
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Vegetarian food will be provided at the conference. Please indicate below if you require a vegan, or special diet, meal and provide details below
Please indicate whether you have any mobility difficulties
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