Conference registration form

Registration details:

Title:

First Name:

Last Name:

Company/Organisation (as applicable):

Address 1

Address 2

Address 3

Postcode:

Country:

Telephone number:

E-mail:  

RECEPTION AND DINNER (IMPORTANT!)
I will
will not be attending the Reception and Dinner on 20th of October (included in conference fee – no discount for non-attendance).

I have special dietary requirements:

PAYMENT (amount due)*

I am an EMLO Academic member --- £150
I am an EMLO Individual member --- £350
I am not currently an EMLO member but I would like to join now and take advantage of the members’ price – take me to the Join EMLO page. I understand that my membership will only need to be renewed in January 2013
I am not a member of EMLO --- £450

* Please note that EMLO is not registered for VAT and so no VAT is payable.

** The following members of my company/organisation will also be attending the conference - please complete if option 3 chosen above
Name 1: Name 2: Name 3:

I am inviting a guest to the Reception and Dinner --- £70  
Guest name:  

PAYMENT (tick method chosen)

Pay now via PayPal
I undertake to send a cheque or bankers' draft in pounds sterling for the full amount made payable to EMLO to

Philip Wareham, Treasurer,
European Maritime Law Organisation (EMLO),
c/o Hill Dickinson LLP
Irongate House,
22-30 Duke's Place,
London EC3A 7HX,
United Kingdom

Picture: 
Please type the characters you see in the picture (this is to fight spam):