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					       Royal Society of Chemistry Solid State Group Christmas Meeting 2011
                 Department of Chemistry, University of Liverpool
                            19th – 20th December 2011

Personal Details

Title (Prof, Dr, Mr, Miss etc.)

First name                                                Last name

Organisation

Address

Postcode                                                  E-mail

Tel. No.                                                  Fax



Registration Fee

Registration fee includes attendance at sessions, refreshments and conference dinner. Please 
appropriate category.
Student registration                               £50

Standard registration                             £75



Payment

ATTENDANCE AT THIS MEETING IS BASED ON PRE-PAYMENT ONLY

Registration fees must be paid in Pounds Sterling (GBP)

Payment should be made by cheque. Please make cheques payable to ‘University of Liverpool’

Completed registration forms and payment should be returned to:
Andrew Fogg, Department of Chemistry, University of Liverpool, Crown Street, Liverpool, L69 7ZD

Deadline for the receipt of the registration form and payment is 11th November 2011
Presentations

Oral presentation                         Please  if you wish to be considered for a contributed talk

Poster presentation                       Please  if you wish to be considered for a poster presentation

Abstracts must be submitted electronically to ssg2011@liverpool.ac.uk by 11th November 2011. Title of
presentation:




Special Requirements

Please indicate any dietary requirements or other assistance which may be required




RSC Solid State Chemistry Special Interest Group

Please  if are interested in joining the RSC Solid State Chemistry Special Interest Group



Terms and Conditions

Attendance at this meeting is based on pre-payment only. All payments must be received before the
start of the conference in order to confirm your booking.

We regret that no refund will be made for cancellations.


Signature                                                                    Date




               Oral or Poster   Speaker          Student          Fees    Reg No
                Presentation                      Award           Paid
For Official
 use only:

				
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