Reply form

Registration Form

Print out and fax to: +44 (0) 1865 331125

Title (Prof/Dr/Mr/Ms)

First name

Family name

Job title

Organisation

Address

Post/ZIP code

Country

Tel

Fax

E-mail

Nature of business

Special dietary requirements

Please register:
Delegates registering on or before 17 July 1998
£305 + VAT @ 20.6% (£62.83) = £367.83

Delegates registering after 17 July 1998
£405 + VAT @ 20.6% (£83.43) = £488.43

Students
£220 + VAT @ 20.6% (£45.32) = £265.32
Students must send their registration together with a letter signed by their head of department to confirm their status.

Please book places at the conference dinner
£24.88 + VAT @ 20.6% (£5.12) = £30.00

Payment
I enclose a cheque payable to Elsevier Science Ltd
Please charge my Visa/Amex/Mastercard/Eurocard

Card No:

Expiry Date:

Today's Date:

Name and address of card holder if different from above
Name

Address

I understand and agree to abide by the terms as set out in this brochure

Signature:__________________________________

Date:________________

Please send details on exhibiting facilities at the conference.

Please print out and return this form to
Sue Stewart
First International Conference on Inorganic Materials Secretariat
4 Manor Farm Barns
Church Lane
Charlton-on-Otmoor
Kidlington, Oxon
OX5 2UA
UK

Tel: +44 (0) 1865 331040
Fax: +44 (0) 1865 331125