Bruges Main conference registration details - June 2017 Question Title * 1. Family Name (Surname) Question Title * 2. First Name Question Title * 3. Your Institution's Name Question Title * 4. Please select as appropriate Faculty member Postgraduate Student Undergraduate Student Teacher Other Other (please specify) Question Title * 5. E-mail address Question Title * 6. Alternative e-mail address Question Title * 7. Address Name Address Address 2 City/Town State/Province ZIP/Postal Code Country Phone Number Question Title * 8. Will you be attending the conference dinner on Friday 9th June? (Please note there is additional cost of €35.00 need to be paid for the dinner) Yes No Question Title * 9. Please select as appropriate regarding lunches at the conference Friday 9th June Yes, I need lunch No, I don't need lunch Friday 9th June menu Saturday 10th June Yes, I need lunch No, I don't need lunch Saturday 10th June menu Question Title * 10. Do you have any special dietary requirements? No, I don't have any special dietary requirements Vegetarian Vegan Gluten free Other (please specify) Question Title * 11. Please tell us about any special need requirements you may have Question Title * 12. Select the appropriate FeeSee website for agreed fee and paymentpay now €200 - CiCea non members fee €100 - CiCea members fee €60 - Research students' Fee - Please provide evidence for your student status - (Please see the student conference call for papers, if you also want to be considered for the Research student conference) €140 - Virtual paper for non CiCea members €70 - Virtual paper for CiCea members €20 - Virtual paper for Research Students Done