ࡱ> AC@` 4bjbjss 76} $ T $On        $h%NE>  >>     >   >    `c+A * 0O s s s  ^  L2       O>>>>$$$d $$$ $$$ JOINT PHARMACEUTICAL ANALYSIS GROUP FASTER and SMARTER ANALYSIS : 3~4 April 2008 REGISTRATION FORM one form per person please : fax or photocopy forms will be accepted Completed registration forms should be returned by Wed. 26th March to Julie Churchill 3rd floor, Royal Pharmaceutical Society of GB, 1 Lambeth High St., London SE1 7JN Enquiries may be made to 0207 572 2261 ; Fax (0207 572 2506 ; E= < science@rpsgb.org> 2-day Conference REGISTRATION FEES Members JPAG (must be registered as a Member before 15th March 2008) 210 other Members of ¼ϲʹ/RPSGB 350 bona fide Retired/Student/Unemployed members of ¼ϲʹ/RPSGB 50 Not a member of any of these bodies 350 All fees include 2-day registration, symposium documentation, morning coffee and lunch A block booking can be arranged for Students, including documentation but without lunch PLEASE NOTE that there is NO charge for VAT It is regretted that, once registration is accepted, fees cannot be waived but substitutions are allowed at any time Cheques/BACS payment (in pounds sterling) MUST be payable to JOINT PHARMACEUTICAL ANALYSIS GROUP - N O T to the RPSGB OR to ULSoP =============== PLEASE COMPLETE AS APPROPRIATE ============ I wish to attend the 2-day Conference at ULSoP. on Wed/Thu 3-4 April 2008 and I provide a remittance for ______ Payment must be made before the start of the symposium. DELEGATE SURNAME _____________________________________________ (BLOCK CAPITALS PLEASE) TITLE (Miss/Mrs/Ms/Mr/Dr/Prof) ____________FORENAMES______________________________________ ORGANISATION _________________________________________________________________________ ADDRESS ______________________________________________________________________________ _____________________________________________________________ POSTCODE _______________ Tel __________________ Fax _________________ e-mail _____________________________ Method of payment (please tick one box): Cheque in GB pounds, made payable  The Joint Pharmaceutical Analysis Group Bank Transfer: use SortCode 30-99-93. Account Number: 00779842, at Lloyds TSB Bank, 41-43 South St., Worthing, West Sussex; BN11 3AU Quote ref: 0408 Additional Information (please tick as appropriate): I am a member of the J P A G Although $MNSThiŹ}qfYE7h 0h$ H5OJQJaJ&h 0h$ H5OJQJaJmHnHuh 0h$ HCJOJQJh 0h$ HOJQJh 0h$ H5OJQJh 0h$ HCJ'h 0h$ H5CJOJQJmHnHsHh 0h$ H6CJOJQJ^Jh 0h$ H5B* CJphh 0h$ H5CJaJh 0h5CJaJ h 0hE05B* CJaJ ph h 0h5B* CJaJ phh 0h5CJaJ$SThi ] ^ . Z O P `gd 0gd 0 ^`gd 0$a$gd 0$a$gd 04  U ] ^ g w z { | ʾypypyieipypyieiy[yOh 0h$ H5>*CJ h 0h$ H>*CJhLq h 0h$ Hh 0h3CJh 0h$ HCJh 0h$ H5CJh 0h$ H5CJh 0h$ HCJOJQJh 0h$ HCJH*OJQJh 0h$ HCJOJQJh 0h$ H5OJQJh 0h$ HOJQJh 0h$ HOJQJaJh 0h$ H5OJQJaJh 0h$ H5H*OJQJaJ      ! % & ' ( * . ? 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