Registration Form

To register please complete and return the attached form. At present we are unable to offer online registration.

Please complete and fax to: +44 (0)1865 843 958

Mail to: Janet Seabrook, Fuel Cells Science & Technology 2008 Conference Secretariat, Elsevier, The Boulevard, Kidlington, Oxfordshire, OX5 1GB, UK

Please register me for Fuel Cells Science & Technology 2008

Delegate details

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Presenters should provide their abstract reference number in order to ensure that their material is included in the final programme and abstract book:
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Please do not include my name and affiliation in the list of attendees.

Registration rate

Special discount for registrations received by 30June 2008

I am a member of the Confederation of Danish Industries – please tick here to receive your 10% discount.

Early Delegate Rate €815 + VAT @ 25% = €1018.75

For registrations received after 30 June 2008
Conference Delegate €900 + VAT @ 25% = €1125.00
Student Delegate €395 + VAT @ 25% = €493.75

Multi delegate rate – 20% discount applicable. Please contact Conference Secretariat for further details.

Please send me information on exhibiting and sponsorship opportunities

Payment Details

Total payment required €
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	I confirm that all of the above information is correct and that I am the valid credit card holder or authorised to enter into this transaction on behalf of the individual identified above, who is the valid credit card holder.

DECLARATION
(Please note that unsigned forms cannot be accepted).
I have read and agree to abide by the payment and cancellation terms, and I understand that this form confirms my conference booking. I accept that from now on charges will be imposed for cancelled registrations, and that up to the full registration fee will be payable if I am unable to attend the conference for any reason.

Signed:_________________________________________________

Date:_____________

Data Protection Notice: The personal information that you provide on this form will be used by Elsevier Limited, [a company registered in England and Wales with company number 1982084, whose registered office is The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK, conferenceinfo@elsevier.com (delegates are reminded not to email credit card information in any circumstances)] and it’s offices worldwide to process your registration and, with your permission, may be used by us and affiliated and non-affiliated third parties for marketing purposes. We respect your privacy and do not rent, sell or disclose your personal information to any non-affiliated third party without your consent.

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