Higgs Couplings, 2019, Oxford, UK

Registration for Higgs Couplings, 2019, Oxford, UK

Please complete this form to register.

*Title:

The title is required

*First Name:

The first name must be between 2 and 100 characters

*Last Name:

The last name must be between 2 and 100 characters!

*Institution/Affiliation:

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*Address:

The address must be at least 2 characters

Address (cont):

*City:

The cite is required

*Post code:

The postcode is required

State/County:

Country:

Work phone:

*E-mail:

The email is required and must be a valid email address

Registration costs £250 (£200 for students) and includes:
- 3 lunches (Tue - Thu)
- Welcome Reception (Mon)
- Conference dinner (Thu)
- Refreshments during breaks

*Are you a student?

Please indicate if you are student or not

Yes

Please indicate if you are student or not

Please select:

Arrival Date:

Departure Date:

Accommodation Requirements:

Should you have any specific accommodation requirements such as accommodation for accompanying children or adults, please contact Mrs Sue Geddes.

The banquet dinner is on 03 October 2019 and it is included in the registration fee.

Please let us know whether you are going to attend the conference dinner or not

Additional tickets for guests cost £50 per person, which includes a pre-dinner drink.

*Please enter the number of additional tickets for guests:

Please select number of additional tickets for guests

Please specify any special dietary requirements:

For any additional requirements or queries, please use the text box below (eg. Bringing additional people etc):

Please email Mrs Sue Geddes with particularly long messages.

Payment must be made immediately after clicking the registration button below by using the online payment system.

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