Your name:       Telephone:

email address:

Delegates:
Please reserve places

Dealers:
Yes I would like to sell at the convention, please reserve a 6' table for me.

Fees: Delegates: Dealers (table)

                Total:

Dietary preferences: e.g. vegetarian

UK members, please send your cheque, payable to "UK Chapter of the IPBA" to the Treasurer. (The postal address address will be emailed when you have sent this form.)

Payment method: Cheque PayPal Other

If you prefer you can pay your registration fees in £ sterling by PayPal using the email address terry@ipba-uk.co.uk Please add 4% to the total registration fees to cover administration costs - this is still much cheaper than other payment methods. (Unfortunately US$ checks cannot be accepted unless drawn on a British bank.)