Carbon-Based Molecular Electronics

Malvern, UK, April 17-19, 2002




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Registration

The deadline for registration with guaranteed accommodation is 28th February 2002

The deadline for conference registration only is 31st March 2002

In order to apply online, please make sure that your browser is configured to handle e-mail. Alternatively, use the attached MS Word or PDF forms.

Please note that you should receive an e-mail confirmation of your online application within 3 days. If you have not, probably your browser is not properly configured, and you should use the attached Word or PDF forms instead.

Family name:
Forenames: 
Gender:  MaleFemale
Date of Birth
(dd/mm/yy): 
Title: 
Nationality: 
Institution: 
Address: 
Email: 
Tel: 
Fax: 

Preferred Presentation: Oral Poster None
Registration fee: £140 if paid by 31.03.2002, or £190 if paid upon arrival.

Student rate: £50 if paid by 31.03.2002, or £80 if paid upon arrival.
If student rate applies, please state the name of your supervisor:

I wish to attend the conference dinner at Eastnor Castle (£35)

I confirm that if my application is accepted, the registration fee will be paid no later than on 31.03.2002

We accept payment by Visa/Mastercard/Delta/American Express.
Please FAX credit card details to Sarah Lambert (Fax: ++44 1684 89 6368) including Name on Credit Card, Card Number, Valid From, Valid To, Issue No. (Delta only)
Please, confirm the Full invoice/receipt address if different to the above address filled in for registration.


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Last updated: 17.12.01