3rd Anglo Dutch Symposium - Application Form

3^rd Anglo-Dutch Symposium

THE THIRD ANGLO-DUTCH SYMPOSIUM SPONSORED BY THE ROYAL SOCIETY OF CHEMISTRY AND THE INSTITUTE OF APPLIED CATALYSIS

"ORGANOMETALLIC CHEMISTRY AND APPLIED CATALYSIS"

Two-day Symposium, 29 - 30 March 1999

Department of Chemistry, The University of Sheffield

Application for Ticket

Please return to Mrs Elaine Fisher by 15 March 1999

Full name and prefferred title (Professor/Dr/Mr/Ms): ...........................................................

Full address: ........................................................................................................

.........................................................................................................................

E-mail address: ............................................... Fax: ...............................................

Cost, £

Please send me one ticket for the Third Anglo-Dutch Symposium
(£10 each if purchased by 15 March, £15 thereafter) ........................

Please reserve me one place at the Symposium Dinner (£30) ........................

Please reserve accommodation for the night of Monday 29 March in Halifax Hall of Residence: bed and breakfast in either a single room, £24 o;
or with en-suite facilities, £38 o - VAT included ........................

Please reserve accommodation for the night of Sunday 28 March in Halifax Hall of Residence: bed and breakfast in either a single room, £24 o;
or with en-suite facilities, £38 o - VAT included ........................

I enclose a cheque, made payable to "The Third Anglo-Dutch Symposium on Organometallic Chemistry and Applied Catalysis" for the total cost: ........................

I would like to apply for an iAc student bursary o

I would like to present a Poster and I enclose the title and a short abstract o

Mrs Elaine Fisher, Secretary, Third Anglo-Dutch Symposium Department of Chemistry, The University of Sheffield, Sheffield S3 7HF

Back to List of Speakers

	Cost, £
Please send me one ticket for the Third Anglo-Dutch Symposium (£10 each if purchased by 15 March, £15 thereafter)	........................

Please reserve me one place at the Symposium Dinner (£30)	........................

Please reserve accommodation for the night of Monday 29 March in Halifax Hall of Residence: bed and breakfast in either a single room, £24 o; or with en-suite facilities, £38 o - VAT included	........................

Please reserve accommodation for the night of Sunday 28 March in Halifax Hall of Residence: bed and breakfast in either a single room, £24 o; or with en-suite facilities, £38 o - VAT included	........................

I enclose a cheque, made payable to "The Third Anglo-Dutch Symposium on Organometallic Chemistry and Applied Catalysis" for the *total cost*:	........................
I would like to apply for an iAc student bursary		o
I would like to present a Poster and I enclose the title and a short abstract		o

Mrs Elaine Fisher, Secretary, Third Anglo-Dutch Symposium Department of Chemistry, The University of Sheffield, Sheffield S3 7HF