Registration for Annual Microbiology Conference 19 July 2022

An Early Bird Discount Rate of £75:00 applies to registrations received before 17 June 2022. After this date, the higher rate of £95:00 will be charged. Fee includes morning coffee, light refreshments & buffet lunch.

A student rate of £35:00 may be claimed by full time students (see end of application form) – you may be asked to produce proof of status.

Please note that this form cannot be saved before completion, so make sure you have all the information required to hand before starting to fill it in.

Please note that photos will be taken during the day for publicity purposes.

Email queries to reg.bsmt@gmail.com.

Title

First Name *

Last Name *

Email *

Telephone

Job Title *

Hospital / Organisation *

Discipline *

Type of Institution *

Address of Institution *

City / Town *

Postal Code

Country *

Dietary or other special requirements Please provide details of any dietary or other special requirements

Exclude from Mailings Please tick this if you wish to be excluded from mailshots about future events

Exclude from Delegate List Please tick this if you wish to have your name and workplace excluded from the delegate list to be given to representatives from the exhibiting companies

Parking Required Please tick this if you require parking at the venue

I am a Full Time Student

Payment Option
Bank Transfer: Send to "British Society for Microbial Technology", Account No 00181011, Sort Code 80-02-77
Reference: BSMT & Last Name
Registration is confirmed on receipt of payment

Invoice to Paying Authority: Registration is confirmed on receipt of the following completed information about your Finance Department

Purchase order number *

Finance department contact name *

Use above address for finance

Finance department address *

Finance department email address *

Finance department phone number *

Registration for Annual Microbiology Conference 19 July 2022

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