THE CINEMA ORGAN SOCIETY

ON-LINE CONVENTION REGISTRATION FORM


You can use this form to register for the Convention on-line. Your payment is handled by PayPal. If you do not have a PayPal account, you can pay by credit or debit card.

Please note that you need to reserve accommodation at the hotel separately. Information about the Convention hotel is available here. Note: the hotel information will open in a new window or tab. This booking form will remain open.

* Items marked with an asterisk are compulsory

Do you intend to book accommodation at the recommended hotel?

*   Yes   No  

Convention registration costs per person

All prices are in pounds sterling. If you live outside the UK, your payment will be charged to your PayPal or credit card account in your currency.

Convention registration cost £349

Please complete the form below. You will then be taken to the PayPal site to complete the transaction.


Title * Mr   Mrs   Ms
First name *    Last name *
Address Line 1 *    Address Line 2
Town/City *    County/State
Postcode *    Country
Home phone    Mobile phone
Email *   
       
You can include up to two additional people living at the same address if you wish. Please enter their name(s) here
Title     Mr   Mrs   Ms
First name            Last name     
Title   Mr   Mrs   Ms
First name         Last name  
       
Please add any other information (e.g. special diet, disability requirement) or questions in the box below.
       
Comments      

* = These items must be completed