Name:_____________________________________________________________

Organisation:________________________________________________________

Address: ___________________________________________________________

___________________________________________________________________

___________________________________________________________________

Tel: ________________________________ Fax: _________________________

Email: _____________________________________________________________

Please use a separate form for each delegate attending

I am a member of UKUUG YES / NO (please indicate)

Do you require Vegetarian Lunch ?  YES  / NO  (please indicate)

To become a member of UKUUG please contact the Secretariat

______  place(s)  - Option (A) £145  £__________

______  place(s)  - Option (B) £95.00  £__________

EARLY-BIRD DISCOUNT (before 10th January 2001) less £20.00 (Conference only)

______ place (s) - BIND 9 tutorial, 8th Feb (a.m.) £ __________

members from non-profit making organisations £200
members from commercial organisations £250
non-members       £380

TOTAL  £ _________

VAT is to be added to the above prices.

Please make cheques payable to UKUUG Ltd.

Please enclose payment or supply purchase-order number

** by VISA/ACCESS/MASTERCARD

Card Number: ________________________________________ Expiry Date: ______

Name of Cardholder: ____________________________________________________

Signed: ____________________________________________ Date: ____________

Please return this form to:  Jane Morrison, UKUUG Secretariat by post or by fax.