European Symposium on Photomorphogenesis
University of Leicester 12 - 18 July 1997
Registration Form
Title: [ ] Prof [ ] Dr [ ] Mr [ ] Ms [ ] Male [ ]Female Surname ........................................................ Forename ........................................................ Company/Institute ........................................................ Mailing Address ........................................................ Zip Code ........................................................ Country ........................................................ Telephone No. ........................................................ FAX Number ........................................................ ........................................................ REGISTRATION FEE:
UK £150 sterling to be paid by 31st March 1997.PAYMENT OPTIONS
I enclose a cheque for £_________
Please charge £ _____________ (including 3% service charge) to
[ ] MasterCard [ ] Visa Expiry Date ___________________
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Name ___________________________
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Address of Card Holder:
To qualify for assistance with travel expenses, should funds be available, students' registration forms must be countersigned by the Head of the relevant University Department.
Please tick if a student [ ]
Signature of Head of Department ___________________
I wish to give a talk
I wish to present a poster
Tentative Title _____________________________________________________________
I would be interested in a Conference Tour to Stratford-upon-Avon on the Friday immediately following the Conference (18th July 1997). Details will be available at a later date.
Please mail or fax this form to:
ESOP Conference Office, Department of Botany, University of Leicester, Leicester. LE1 7RH. UK.Fax +44 (0)116 2523381