MAXIS 2003: Registration Form

MAXIS 2003 International Festival of Sound and Experimental Music
Please return this form to: (by post or fax) FAX: 0113 343 2586 (UK) FAX: +44 113 343 2586 (International)		MAXIS c/o Dr Kia Ng, ICSRiM, School of Music, University of Leeds, Leeds LS2 9JT, UK
YOUR NAME/NAMES:
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TOTAL PAYABLE:	£85.00 early registration (before 28 Feb 2003)
	£100.00 late registration (from 28 Feb 2003)

PAYMENT OPTIONS - PLEASE TICK PREFERRED METHOD OF PAYMENT

	BY CHEQUE (Only for UK) - Please make your cheque payable to UNIVERSITY OF LEEDS
	BY CREDIT OR DEBIT CARD - We are unable to accept American Express Cards

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