ࡱ> WYV'` Pbjbj{P{P ?F::3   8\:d *(|*~*~*~*~*~*~*$/h}1* * *d  |*|*V'@ ' g]?|F' x)*0*R'x2d2''2 '5|***|*     Carbohydrates in Dundee ŷAV Carbohydrate Group Meeting 30th-31st August 2010, University of Dundee Deadline for registration is July 16th 2010. Please complete in typescript or block capitals. TITLE: FORENAME:SURNAME: INSTITUTION: ADDRESS: POST CODE: ŷAV MEMBERSHIP No.PHONE: FAX:EMAIL*: I amMALE: FEMALE:VEGETARIAN: VEGAN: OTHER DIETARY REQUIREMENTS (SPECIFY):ANY OTHER SPECIAL REQUIREMENTS (SPECIFY): *Confirmation of your registration will be sent to this e-mail address Please mark the appropriate box: ( I am submitting an abstract for an oral presentation ( I am submitting an abstract for a poster presentation ( I will participate as a delegate only REGISTRATION FEE: The conference fee includes admission to all conference sessions, hot beverages, lunch and evening buffet. ( ŷAV members - 60 ( Non-ŷAV members- 80 ( Student rate - 20 PAYMENT MUST BE SENT WITH REGISTRATION FORM. YOU WILL RECEIVE CONFIRMATION OF YOUR REGISTRATION BY E-MAIL. HOW TO PAY You can pay by cheque or by debit/credit card. Cheques should be made payable to the The University of Dundee and be in Sterling drawn on a UK BANK ONLY. Credit cards: Note that there is a 5 handling fee for credit card transactions. There is no fee for payment by Switch. Please fill in and sign the card payment slip below before returning your form. WHERE TO SEND YOUR FORM When you have filled in the form, please return it with your payment to: Carbohydrates in Dundee, c/o Gayle Gray, Biological Chemistry and Drug Discovery, Wellcome Trust Building, University of Dundee, Dundee, DD1 5EH. Email  HYPERLINK "mailto:g.gray@dundee.ac.uk" g.gray@dundee.ac.uk, Fax: 01382 385764 Forms without payment will not be processed until payment is received. Incorrect credit card numbers and declined credit are considered non payments and registration will not take place. No registrations can be accepted by telephone. ŷAV Carbohydrate Group Meeting 2010 Payment form ( By credit/debit card: Please debit my card with the sum of . (please remember to include handling fee of 5 for credit cards) ( Master/Eurocard ( Visa Credit ( Visa Debit Credit card number :_________/________/________/________ Start date :_______/________ Expiry date :_______/________ Issue Number Name cardholder :_______________________________________________________ 3 digit security code from back of card* :_____ _____ _____ * If you are unhappy at placing this information placed in the mail, you may omit it from the form, and email the security code only separately to  HYPERLINK "mailto:g.gray@dundee.ac.uk" g.gray@dundee.ac.uk. ( By cheque: Please make cheque payable to the The University of Dundee. Cheques must be Pounds Sterling drawn on a UK Bank. Refund policy: Unfortunately, no refund of the registration fee is possible unless the meeting is cancelled. Please contact the organisers if you can no longer attend. No refund will be possible for no-shows at the conference. Confirmation: Please allow up to 10 days for confirmation of your registration. Confirmation will be sent to you by email upon receipt of a completed registration form. By sending in this registration form, I acknowledge that I commit myself to the immediate payment of the full conference fee. I have taken notice of the refund terms on this form. 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