Registration Fees – Registration for the Scientific Meeting is waived for BMSS Student Members,with the exception of those who register after the 12th June 2015.

There is a meeting registration discount for delegates also attending the Course. Please note, registration feesfor the Meeting DO NOT include registration for the Training Course and vice versa.

DELEGATE DETAILS

Title / First Name / Surname
Company/University/Employer Name
Address
Post Code / E-Mail
Training Course – Tuesday 7th July 2015
(includes lunch and refreshments) / BMSS Member / Non BMSS Member / Total
Late Course Delegate – after 12th June 2015 / £30 / £35
Late Student* - after 12th June 2015 / £20 / £35
Meeting - Wednesday 8th July 2015 (includes lunch and refreshments) / BMSS
Member – no Course / Non BMSS
Member – no Course / BMSS
Member – Course / Non BMSS
Member – Course / Total
Late – Full delegate – after 12th June 2015 / £45 / £55 / £55 / £65
Late Student* – after 12th June 2015 / £20 / £55 / £30 / £65
Total Payment / £

Payment can be by:

Cheque – please make cheques payable to the British Mass Spectrometry Society

OR

Credit Card – please enter details

Card No:
Card Type: / Visa Mastercard / Expiry Date:
Name of cardholder if different from delegate attending (as given below)
Signature: / Date:
Dietary Requirements / Vegetarian / Vegan
Other dietary requirements (e.g. Gluten free) please state
Student Declaration* / I certify that (name of student)
Is a bona fide student at (name of Institution)
Signature of Supervisor

Data Protection Statement

The information provided on this registration form will be held on computer for the purposes of the organisation and running of the IM-MS SIG Meeting 2015.

A Delegates list (name and affiliation) will be produced and issued to all delegates and exhibitors. If you DO NOT wish your information to be included please indicate by ticking the box below:

Delegates List

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