ࡱ> BDA ybjbjo>o> .* T Tk ?????SSS84$S (    ???       $9"$l2 ??????2 ??  4G ?F? ?  ? l 40S] 0 ,G%G%G%?@???????2 2 T??? ????G%????????? : EFASIG2017 Environmental & Food Analysis SIG Meeting, July 19, 2017 The Auditorium, Analytical Research & Development, Southampton SO15 8TL REGISTRATION FORM Registration Fees Delegate TOTAL Standard fees include delegate pack, coffee, tea and lunch. BMSS and ŷAV members 40 .. Non-members 50 . Student* 20 ............. Retired/unwaged 20 . . (Add 10% for registration after the closing date) Exhibitor Charges and Fees Exhibition space with one delegate included 100 ; each additional delegate 40 members or 50 for non-members . _______________________________________________________________________________ Dietary Requirements (Tick/complete as appropriate) Vegetarian ( Vegan ( Other dietary requirements (e.g. gluten free etc) please state:______________________________________ I wish to register for the EFASIG2017 meeting *Declaration for Students : I certify that ___________________________is a bona fide student Signature of Supervisor ____________________________ University____________________ Delegate Details Name: _____________________________________ Title:___________ Address: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ E-mail: _____________________________Fax____________________ Final registration and Payment Information Please note that final registration and payment should be made on or before June 30, 2017 by e-mailing  HYPERLINK "mailto:christopher.smith53@btinternet.com" christopher.smith53@btinternet.com Data Protection Statement The information provided on this registration form will be held on computer for the purpose of the organisation and running of the EFASIG2017 meeting in 2017. Details (name and affiliation) may be passed onto the exhibitors at the meeting. If you DO NOT wish for your details to be used please indicate by ticking in the box below: Information to Exhibitors ( A Delegates list (name and affiliation only) will be produced and issued to all delegates and exhibitors. If you DO NOT wish your information to be included please indicate by ticking the box below: Delegates List ( Abstracts The final deadline for submission of abstracts for oral and poster presentations is 2 weeks prior the meeting date. 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