2010 Conference Booking Form

Please use this form to book your place at the 2010 ASA Conference if you wish to be invoiced or to pay by credit card.

For payments by cheque or bank transfer, please do not complete this form - instead please download and complete this Booking Form.

Rates

Rates: *

ASA Members Special Rate: £295

Additional ASA members £145 each (please complete a separate form for each delegate)

Non-member Early-bird Discount Rate (bookings made before January 16th 2010): £310

Non-member Full Rate (from 17th January 2010): £345

Special Rate for Librarians: £245

Personal details

First Name: *

Surname: *

Job Title:

Organisation: *

Email address: *

Telephone Number: *

Address Line 1: *

Address Line 2:

Address Line 3:

County/State/Province: *

Country: *

Post/Zip Code: *

Payment options

Payment Options: *

I would like to book by credit card: I understand you will contact me on the above number

Please send me an invoice to the address above

Hotel options

Hotel Options: *

I would like to know about the special hotel room rate secured by the ASA for this conference.

I do not need a hotel room.

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