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Event Registration Form

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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: