NAIL FORUM
SCHOOL OF PHARMACY, UNIVERSITY OF LONDON
JUNE 28TH, 2011
REGISTRATION FORM
Name: ______(Block Capitals) Title: ______
Affiliation: ______
Address:______
______
Post Code: ______Country: ______
Email: ______Telephone: ______
Mobile:______Fax: ______
Please indicate the registration you require
Employee within academic establishment (postdoctoral researcher or academic) or government agency (£150) 1
Employee within industrial sector (£250) 1
Full-time student (reduced fee of £50) 2
______
Registration forms may be emailed to Dr. Majella Lane at the following email address:
1 Where applicable, please make cheques payable to “Skin Forum” and send them to Dr. Majella Lane at the address below:
If you wish to pay by Electronic Bank Transfer please note the following details for payment:
Bank name: Natwest.
BankAddress: Havant Branch, 23 West Street, Havant, Hants, PO9 1EU, UK.
Sort code: 60-10-20
Account name: Skin Forum
Account number: 61871877
IBAN number: GB95 NWBK 6010 2061 8718 77
BIC: NWBK GB 2L
2 For reduced fee registration, students must display an individual posteror give an oral presentation(the fee reduction only applies to one full-time student per multi-authored poster or presentation).In the absence of a poster or oral presentation the full academic fee (£150) will apply. Part-time students must pay the relevant fee for the industrial or government sectors.
Abstracts should be sent by email to reach Dr. Majella Lane no later than May 31st 2011, (). The abstract should be prepared using Microsoft Word as one A4 page typed in Times Roman, font size 12, margins 2.5 cm.
A prize of £100 will be awarded to the best poster and oral presentation as determined by the judges.
The registration fee covers attendance at the conference.Accommodation is not provided. Completed registration forms to be sent to the Treasurer at the address below.
The closing date for applications is 31st May, 2011
Address: Dr Majella Lane, School of Pharmacy, University of London, 29-39 Brunswick Square, London, WC1N 1AX