"Statewatching the new Europe 2001" conference
30 June 2001, London - booking form back to Conference speakers

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Your name

Full E-Mail Address

Institution/organisation

Postal Address


Phone:   Fax:

Category (individuals, voluntary groups, unemployed, institutions and media)

Individual £10 per person Individual £10 per person Voluntary groups £10 per person Institutions, libraries, media £20 per person unemployed £5 per person community groups £5 per person

How will you pay? (cheque, credit card, international money order)

Credit Card Cheque (payable to STATEWATCH) Cheque (payable to STATEWATCH) International Money Order Invoice: libraries and institutions only

METHOD OF PAYMENT

I want to pay by cheque: print * this form and send it with a cheque made payable to 'Statewatch' to:
Statewatch, PO Box 1516, London N16 0EW, UK

Please send me/us an invoice: Click on the button below to submit your order and an invoice will be posted to you.


I wish to pay by credit card Visa Mastercard Access
1. My card number is 2. Expiry date
Signature (if you are posting or faxing your order) ________________________________

To send your credit card order by e-mail just click this button

To send by post or fax please print out* this form. By post to: Statewatch, PO Box 1516, London N16 0EW, UK
or by fax to: ++ 44 20 8880 1727 [International] 0208 880 1727 [UK]

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* If you would rather send this form by post or fax then print it out by first clicking anywhere on the form with your mouse. Then select 'Print' or 'Print Frame' from your web browser.