ELMI Delegate Registration - online payment

Use this form to register to attend ELMI and pay online.

Please fill in the form below to register as a delegate for this conference.

Once you complete the form and click 'submit' you will be taken to our secure payment site.

Registration includes attendance to the full conference, 5th, 6th, 7th & 8th June 2012. Registration also includes lunches and refreshments on each day, and the conference banquet.

If you have any questions, contact: Events Manager Victoria Masters

(Registration Fees include 21% Belgian Tax)

Registration

Please ensure that you read the Terms and Conditions of booking carefully.

Registration Options
	First Name *
	Surname *
	Email Address *
	Affiliation (this will appear under your name on your badge) *
	Address Line 1 *
	Address Line 2
	Address Line 3
	City/Town *
	Postal Code *
	Country *
	Dietary Requirements
	Registration Options *	RMS/EMS Member £355 Standard £385 Student £260
?	Please enter the VAT number of your institution/work place here. *
	By ticking this box I authorise the Royal Microscopical Society (RMS) to send me information on future RMS events.
	By ticking this box I authorise the Royal Microscopical Society (RMS) to pass on my email address to companies attending this meeting.
	How did you hear about this meeting? *
	If you selected 'Other website' above, please specify
	I have read and agree to the terms and conditions *