ࡱ> AC@ bjbj 4.ucccwwww4Dwv$7cI@II7L+++Ilc+I++7,+SWwY+b0+\ud\++>\ci0."+Pl77RIIII\ : Molten Salts Discussion Group 2009 Christmas Research Meeting 14th December 2008, 15Hatfields, London SE1 8DJ BOOKING FORM If you open this form from the internet, please save it as an MS Word file, with the file name changed to xxx.doc (xxx are your initials), complete and save it on your computer, and return it as an email attachment to Robert.Watson@awe.co.uk (Dr. Robert Watson) Personal details Name: Address: Tel: Fax: Email: Arrival time/date: Leaving time/date:Please mark (X) in the spaces as appropriate I wish to attend the meeting. ____ I would like to offer an oral presentation. ____ (Oral presentations are 20~30 min, inc discussion)Provisional title of presentation: Accompany person details Name: Address: Tel: Fax: Email: I enclose payment of Please send invoice to Quoting ReferenceSpecial Requirements (e.g. diet, special requests for access to buildings etc.) For future communication, MSDG needs to hold your details electronically. Your details will not be passed to anyone else or any other organisation. If these actions are unacceptable, please mark in underlined space. ___Signature: ............................................. Date: ....................................................... Tel: +44-(0)118 982 4912 Fax: +44-(0)118 982 7206 Email: Robert.Watson@awe.co.uk You may also fax or post this form, along with payment or purchase order details, to the Honorary Treasurer at the address below. (Cheques should be made payable to the MSDG) Dr. Robert Watson Building A90.2 AWE, Aldermaston Reading, RG7 4PR You may reserve the early bird-rate by informing the treasurer that you will pay at the meeting when you send him this form at least two weeks in advance. If you receive this form via email or download it from the internet, you can complete and return it electronically as an email attachment to Dr. Robert Watson. In this case, no signature is needed, but your email will function as the proof. 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