Microscopy of Semi-Conducting Materials XVI (MSMXVI) Day Delegate Package, Event Application Form

Event Registration Form

Course Title:

Microscopy of Semi-Conducting Materials XVI (MSMXVI) Day Delegate Package

Course Dates:

17-20 March 2009

Location:

Keble College, Oxford

Please choose registration type: Day delegate package fees include 4 days attendance at the conference, refreshments, lunches and a DVD of the Proceedings. This does NOT include accommodation. To attend the Conference Banquet on the Thursday night, please select the additional option below.

Standard Day Delegate Package - Ł460
RMS/IOP Member Day Delegate Package - Ł420
Student Day Delegate Package - Ł310

Conference Banquet, Thursday 19th March 2009: Ł50

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: