ࡱ> AC@` 4bjbjss 76} $ T $On        $h%NE>  >>     >   >    `c+A * 0O s s s  ^  L2       O>>>>$$$d $$$ $$$ JOINT PHARMACEUTICAL ANALYSIS GROUP FASTER and SMARTER ANALYSIS : 3~4 April 2008 REGISTRATION FORM one form per person please : fax or photocopy forms will be accepted Completed registration forms should be returned by Wed. 26th March to Julie Churchill 3rd floor, Royal Pharmaceutical Society of GB, 1 Lambeth High St., London SE1 7JN Enquiries may be made to 0207 572 2261 ; Fax (0207 572 2506 ; E= < science@rpsgb.org> 2-day Conference REGISTRATION FEES Members JPAG (must be registered as a Member before 15th March 2008) 210 other Members of 鶹AV/RPSGB 350 bona fide Retired/Student/Unemployed members of 鶹AV/RPSGB 50 Not a member of any of these bodies 350 All fees include 2-day registration, symposium documentation, morning coffee and lunch A block booking can be arranged for Students, including documentation but without lunch PLEASE NOTE that there is NO charge for VAT It is regretted that, once registration is accepted, fees cannot be waived but substitutions are allowed at any time Cheques/BACS payment (in pounds sterling) MUST be payable to JOINT PHARMACEUTICAL ANALYSIS GROUP - N O T to the RPSGB OR to ULSoP =============== PLEASE COMPLETE AS APPROPRIATE ============ I wish to attend the 2-day Conference at ULSoP. on Wed/Thu 3-4 April 2008 and I provide a remittance for ______ Payment must be made before the start of the symposium. DELEGATE SURNAME _____________________________________________ (BLOCK CAPITALS PLEASE) TITLE (Miss/Mrs/Ms/Mr/Dr/Prof) ____________FORENAMES______________________________________ ORGANISATION _________________________________________________________________________ ADDRESS ______________________________________________________________________________ _____________________________________________________________ POSTCODE _______________ Tel __________________ Fax _________________ e-mail _____________________________ Method of payment (please tick one box): Cheque in GB pounds, made payable  The Joint Pharmaceutical Analysis Group Bank Transfer: use SortCode 30-99-93. Account Number: 00779842, at Lloyds TSB Bank, 41-43 South St., Worthing, West Sussex; BN11 3AU Quote ref: 0408 Additional Information (please tick as appropriate): I am a member of the J P A G Although $MNSThiŹ}qfYE7h 0h$ H5OJQJaJ&h 0h$ H5OJQJaJmHnHuh 0h$ HCJOJQJh 0h$ HOJQJh 0h$ H5OJQJh 0h$ HCJ'h 0h$ H5CJOJQJmHnHsHh 0h$ H6CJOJQJ^Jh 0h$ H5B* CJphh 0h$ H5CJaJh 0h5CJaJ h 0hE05B* CJaJ ph h 0h5B* CJaJ phh 0h5CJaJ$SThi ] ^ . Z O P `gd 0gd 0 ^`gd 0$a$gd 0$a$gd 04  U ] ^ g w z { | ʾypypyieipypyieiy[yOh 0h$ H5>*CJ h 0h$ H>*CJhLq h 0h$ Hh 0h3CJh 0h$ HCJh 0h$ H5CJh 0h$ H5CJh 0h$ HCJOJQJh 0h$ HCJH*OJQJh 0h$ HCJOJQJh 0h$ H5OJQJh 0h$ HOJQJh 0h$ HOJQJaJh 0h$ H5OJQJaJh 0h$ H5H*OJQJaJ      ! % & ' ( * . ? L N ǹueuuZRǹǹDh 0hm5CJOJQJh 0OJQJh 0h$ HOJQJh 0h-6H*OJQJaJh 0h-6OJQJaJh 0hm56OJQJaJh 0hm6OJQJaJh 0hmCJOJQJh 05CJOJQJh 0h$ H5CJOJQJh 0h$ HCJOJQJh 0h$ H5>*CJhLqh$ H5>*CJOJQJhLqhm5>*CJOJQJN S T U V Y Z c   O P V e ȺȬ֟֒zl֟Ȭ^QFh 05CJOJQJh 0h$ HCJ OJQJh 0h-6CJOJQJh 0h$ H>*CJOJQJh 0h85CJOJQJh 0CJOJQJh 0hmCJOJQJh 0hE0CJOJQJh 0h$ H6CJOJQJh 0hm5CJOJQJh 0h$ H5CJOJQJh 0h$ HCJOJQJh 056CJOJQJh 0hm56CJOJQJ & ' Q R k r | } ׻׬׬ן|tht|_RJh 0h$ H5h~rh$ HCJ OJQJh 0h$ HCJhLqhLq5OJQJhg9OJQJh 0h$ HOJQJhLqCJOJQJh 0h$ H5OJQJaJh 0h$ HCJOJQJh 0h-CJOJQJaJh 0h$ HCJOJQJh 0hE0CJOJQJaJh 0h$ HCJOJQJaJh 0h$ HCJ OJQJh 0h$ H5OJQJ ' Q R  w FG*0  $r^rgd~rr^rgd~r $r^rgd~r $r^ra$gd 0 $d8a$gd 0$a$gd 0    P S T f l n v w +/DGXvw{аФИаЏwndZwnwnh 0h$ H6CJh 0h$ H6CJh 0hE0CJh 0hACJh 0h$ HCJ h~rCJh 0h$ HCJh~rCJOJQJaJhg9CJOJQJaJh 0h$ H5CJOJQJaJhg9h$ H5CJOJQJaJh 0h$ HCJOJQJaJh 0h$ H5h 0h$ H5CJh 0h$ H5B* CJph *AIZ{ &Z(*,04FHRȽФ}ypgph 0haJh 0hE0aJhLn h 0h$ Hh 0h$ HOJQJhLnOJQJh 0h$ HCJOJQJh 0h$ H5CJOJQJh 0h$ HCJaJh 0h3CJaJh~rCJaJh 0h$ HCJh 0h$ HCJh 0hE0CJ h~rCJh 0h~rCJ h$ HCJ%(p~011l44 rd8^rgd~r r^rgd~r rd8^rgd~r`gdLnr^rgd~r Rxz&\npxJ|obYh 0h$ H^Jh 0h$ HCJOJQJh 0hCJOJQJh 0h$ H5CJOJQJhLn5CJOJQJh 0h$ H5CJh 0h$ H5h 0h5 h 0h h 0h$ HhLn h 0h 5h 0h$ HOJQJhLnOJQJh 0haJh 0h$ H5aJh 0h$ HaJh 0h 5aJ00V0X0`0j0n0p0~0000000000111"1ƹӛxxhxYh 0h3CJOJQJ^Jh 0h$ H>*CJOJQJ^Jh 0h 5CJOJQJ^J"h 0h$ H5>*CJOJQJ^JUh 0h$ HCJOJQJ^Jh 0hACJOJQJ^Jh 0h 5CJOJQJh 0h$ HCJOJQJh 0h$ HCJOJQJhLnCJOJQJh 0h$ HOJQJh 0h$ H5^Jnot a member of JPAG, I am a member of RSC and/or RPSGB I am currently a FULLY RETIRED or UNEMPLOYED member of RSC or RPSGB I am a bona fide STUDENT at [name INSTITUTION] _______________________ I would like to be sent direct"1$1&141F1d111111111244&4.484l4n4p4x4444Ӷӧ❐Ӏ~qdWӀHh 0h8>CJOJQJ^Jh 0h$ HOJQJ^Jh 0h3OJQJ^Jh 0hu OJQJ^JUh 0h$ H5CJOJQJ^Jh 0h$ HCJOJQJhLnCJOJQJh 0hACJOJQJ^Jh 0h$ HCJOJQJh 0h$ H6CJOJQJ^Jh 0h$ HCJOJQJ^Jh 0h3CJOJQJ^Jh 0hCJOJQJ^Jions for travel to the Univ.London School of Pharmacy I would like to be sent information on local hotel accommodation 501h:p 0/ =!"S#$% P@P $ HNormal(CJOJPJQJ_HaJmH nHsH tHDAD Default Paragraph FontRiR  Table Normal4 l4a (k(No ListZOZ $ H WW-Plain Text*$ CJOJPJQJaJmH sH tH} 6$SThi ]^.ZOP'QRwFG*0gh8 ? 6  h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0h0 N R"14  4 4  q dv v /x LK E ]y 4 q |s}F::NUF F a  RLT\\%U U l  8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace:*urn:schemas-microsoft-com:office:smarttagsStreet>*urn:schemas-microsoft-com:office:smarttags PostalCode8 *urn:schemas-microsoft-com:office:smarttagsdate;*urn:schemas-microsoft-com:office:smarttagsaddress {15200834DayMonthYear  FKnuwxydu W _  "  @Cil.3_l'*zBKMOwxuyAK*0 + 0  T \  333333333333333333333333 nu < h&J 0_$FD9-E088>$ H-#[ 5LqBA=Lnu n*A239~rmg9@x@ } p@ppp0p4UnknownGz Times New Roman5Symbol3& z Arial;Wingdings;|i0Batang?5 z Courier New"1hFF  24x x 2QHP)?92_C:\Documents and Settings\Prof G F Phillips\Application Data\Microsoft\Templates\blankpref7.dotREGISTRATION FORMProf G F PhillipsJulie ChurchillOh+'0 (4 T ` l xREGISTRATION FORMProf G F Phillips blankpref7Julie Churchill2Microsoft Office Word@F#@@&A@&A ՜.+,0 hp   鶹AV/AD/JPAGx  REGISTRATION FORM Title  !"#%&'()*+,-./12345679:;<=>?BRoot Entry F`-ADData 1Table$sWordDocument76SummaryInformation(0DocumentSummaryInformation88CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q