Molecular Modelling using Cloud Computing
Please underline 1 option
Member Registration (MGMS) |
£130 |
Non-member Registration |
£140 |
Student Registration |
£60 |
Please note,
students should also provide their supervisor's name and e-mail address.
Name: |
Address: |
Tel: |
E-mail: |
Special dietary requirements: |
Amount Paid |
Method of Payment (please circle one): Switch/Delta/Visa/Mastercard/Cheque |
Closing date for registration is 15.03.2013
Cheques
should be made payable to the "Molecular Graphics and Modelling
Society".
If paying by
credit card, please provide the following details and then send by post to:
Prof
Jonathan D. Hirst
School
of Chemistry
University
of Nottingham
University
Park
Nottingham
NG7
2RD
United
Kingdom
Please do not
send credit card information by e-mail or by FAX.
Card Number |
Security code (last 3 digits on the back): |
Expiry date: |
Issue Number and Start Date (switch only): |
Card Billing address: |
If receipt required (by e-mail), please tick [ ] |
Submitting Poster
If poster is being submitted, please provide title: |
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