student registration form

Welcome to Dura Design Awards 2008 registration.

Please complete all the information required and make sure that it is correct. We will be using these details to confirm that your entry is valid and to contact you when needed.

Fields in bold are required.

IMPORTANT:

For group entries please nominate a group leader as your entry's point of contact.

Please be aware that it is the group leader's responsibility to share any winnings with the group in the event of an award being given.

group entry individual entry

individual / group leader information
name
surname
email
re-enter email
country

telephone - landline
telephone - mobile
fax
address
city
state
zip/post code
group members information
name
surename
name
surename
school/university information
school name
course information
address
city
state
zip/post code
country

telephone - landline
telephone - mobile
fax
address
city
state
zip/post code
fax
website

teacher or course leader information
name
surname
position
telephone
fax
email
I agree to the terms and conditions