ࡱ>  Ybjbj|| ,$44a45555)9^ g: RSC BMCS and RSC H&SG symposium : Synthesis in the Agrisciences Thursday, 14th April 2016 at the ӰԺ at Burlington House, London Delegate and Exhibitor Registration Form TitleForenameSurnameJob titleOrganisationAddress TelMobileE-mailIf you have any special requirements, eg dietary, please detail below:Are you an RSC member? If so, please provide membership no.RSCRegistration Fees (no VAT) including lunchPayments recd up to 19/2/16Payments recd from 20/2/16Indicate feeMember of the RSC 85110Non-member105135Student* member of the RSC (undergraduate or post-graduate)4565Student* non-member (undergraduate or post-graduate)6585Exhibition trade stand, including one full delegate fixed rate450Exhibition trade stand, including two stand staff fixed rate525Additional trade stand staff fixed rate110Note: Trade stand staff have no access to the technical sessionsPayment Optionsa) I enclose a cheque made payable to Maggi Churchouse Events b) Please send an invoice for payment by bank transfer name for invoice is: c) I will register online ( HYPERLINK "http://www.maggichurchouseevents.co.uk/RSC-H&SG" www.maggichurchouseevents.co.uk/RSC-H&SG)Yes/NoPlease note that your e-mail address will be included in the List of Participants unless you indicate otherwiseInclude Students * Student rates apply to undergraduate and post-graduate students only, but not post-doctoral students. Cancellation Policy In the event of cancellation by 31st March 2016, 80% of the fee paid will be refunded. Cancellations must be received in writing. Refunds will not be possible after that date although substitutions are possible at any time. In the unlikely event of cancellation of the meeting, fees paid will be refunded in full.       Please return completed form to Maggi Churchouse, RSC-H&SG Secretariat 3 East Barn, Market Weston Road, Thelnetham, Diss IP22 1JJ Telephone and fax: +44 (0)1359 221004, e-mail: maggi@maggichurchouseevents.co.uk ?@LN ڻvgZPZC6haUh$CJOJQJhaUhzjCJOJQJhHCJOJQJhaUhCJOJQJhaUh!iCJOJQJaJhaUh8 CJOJQJaJhaUhrCJOJQJaJhHCJOJQJaJhaUh*<CJOJQJaJh#8CJOJQJaJhe he CJOJQJaJhg hg CJH*OJQJaJhg CJOJQJaJhe he CJOJQJhg hg CJOJQJ@bV $$Ifa$gdHxkd$$IfTl4%K&  %0K&4 laf4p %yt@uT $Ifgdw'$dha$gd dhgde gde 8// $Ifgdw'kd$$IfTl4\T %U,  %%0K&4 laf4p%%yt@uT#kdP$$IfTl4\T% X %%0K&4 laf4p%%yt@uT $Ifgdw' $$Ifa$gd%     kkd$$IfTl40T%  %0K&4 laf4p %yt@uT $Ifgdw'    tkk_k $$Ifa$gdw' $Ifgdw'kd$$IfTl40T%  %0K&4 laf4p %yt@uT   j l s t w z ̿tgWJ=Whg 56CJOJQJh56CJOJQJhaUh@u56CJOJQJh@u56CJOJQJhN%h@u6OJQJhaUh D:OJQJ\]haUh D56:OJQJhg CJOJQJhaUh#8CJOJQJh#8CJOJQJhaUh$ECJOJQJhaUhF^CJOJQJhaUhzjCJOJQJhaUh$CJOJQJhaUhrCJOJQJ    3** $Ifgdw'kd$$IfTl4\T% ,  %%0K&4 laf4p(%%yt@uT   tk $Ifgdw'kd^$$IfTl40T%  %0K&4 laf4p %yt@uT g ~ $Ifgdw'xkdW$$IfTl4%K&  %0K&4 laf4p %yt@uTg h i ~ $Ifgdw'xkd $$IfTl4%K&  %0K&4 laf4p %yt@uTi j k $Ifgdw'okd $$IfTl4%K&0K&4 laf4p yt@uTk l ~rf $$Ifa$gd.@V $$Ifa$gdg $Ifgdg xkd $$IfTl4%K&  %0K&4 laf4p %yt@uT aT $Ifgd@ukdS $$IfTl4FA!%  %0K&    4 laf4p %yt"T  " zn^N$$Ifa$gd"$$Ifa$gd $$Ifa$gd $Ifgdg xkdL $$IfTl4%K&  %0K&4 laf4p %yt@uT    ! 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