Registration

                                    LAW, POLICY AND THE OLYMPIC MOVEMENT

                                                 Conference Registration
                                                    May 13-14, 2010 
                                            Ithaca College London Center
                                     35 Harrington Gardens, London SW7 4JU

Surname:____________________________________ First Name___________________

Position/title:____________________________________________________________

Affiliation:_______________________________________________________________

Address:________________________________________________________________

Zip Code and City__________________________________________________________

Country:_________________________________________________________________

Telephone:_______________________________________________________________

E-mail:___________________________________________________________________

Print Name (as it should apear on name tag)_____________________________________

                                       

	Professional	Student	Total
Prior to March 15, 2010	£  60.00	£  30.00
After March 15, 2010	£  90.00	£  60.00
Extra Ticket for Olympic Facilities Tour	£  10.00	£  10.00
Extra Ticket for Welcome Reception	£  10.00	£  10.00
Optional Dinner	TBD	TBD
Amount Due

Note:  Your conference registration fee includes the Thursday evening reception
reception and the facility tour.


Payment methods - Credit Cards, Cheques or Money Orders

Credit Card Type_______________________________________________________

Credit Card Number____________________Exp. Date______Verification Code_____

_____________________________________________________________________
Print Name as Shown on Card          Authorized Signature                    Today's Date



Billing address if different from above:

Address:______________________________________________________________

Zipe Code and City:_____________________________________________________

Country:____________________________________________
 

Mail/Fax or Email completed registration form, along with cheque or money order, to:

Bill Sheasgreen
Ithaca College London Centre
35 Harrington Gardens
London SW7 4JU

Phone 011-44-(0) 207-244-4800
Fax 011-(0) 207-244-4808

Email:  bsheasgreen@ithacalondon.co.uk

Registration must be received by 15 March 2010 or late fees apply!