Event Registration Form

Course Title:

flowcytometryUK

Course Dates:

15 - 17 July 2009

Location:

Keble College, Oxford

Please choose registration type: Registration fee includes 2 night's dinner, bed and breakfast accommodation in a single ensuite room in Keble College. A late booking fee of £25 will apply to bookings made after 10th June 2009.
 Standard - £300
 RMS Member - £275
 Student - £250

Your details

Title:

*

First name:

*

Last name:

*

Email address:

*

Telephone number:

*

Fax number:

 
Contact Address
* indicates mandatory fields:

Address 1:

*

Address 2:

City:

*

County:

Postcode:

*

 

This address is also my billing address

 
Other Information
* indicates mandatory fields:

Have you any special
dietary requirements (eg vegetarian)?

If student: Supervisor's name & position:

If student: Institution:

Total to pay: