Registration

REGISTRATION FORM

Recent Developments in Terahertz Spectroscopy and Imaging.

The meeting will take place in the Barton Room, Thomas Graham House. Attendance is limited, so early registration is recommended.

To register for this meeting, please complete and return the form below, together with the appropriate fee to: Brian Woodget, 14 Benington Road, Aston, Herts, SG2 7DX [bwoodget1@sky.com]

Registration fees are: RSC/MSG members £75, non-members £105, student/retired members and unwaged £35.

Please make cheques payable to ‘RSC/AD East Anglia Region Trust’. To pay by BACS please contact Brian Woodget for payment details.

Delegate name:…………………….……………….. Affiliation:……………………………………..

Address for correspondence:…..………………………………………………………………………

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Tel:…………………………..Fax:………………….………

E-mail:………………………………….

Cheque enclosed for £…………….. payable to The RSC/AD East Anglia Region Trust.

I do/do not have any special dietary requirements – please specify if necessary ……………….