New Millennium Symposium and Exhibition Series

Venue: University of East Anglia, NORWICH, England, UK

Dates: 28th August to 1st September, 2007

REGISTRATION / ROOM RESERVATION
& ABSTRACT SUBMISSION FORM

A Single Registration Fee entitles delegates to attend lecture sessions interchangeably at both the Solid Phase Symposium and the concurrent Drug Discovery Satellite Symposium.

British International Open Peptide & Protein Symposium: BIO-PPS-2007

9th International Symposium
SOLID PHASE SYNTHESIS, COMPLEMENTARY SOLUTION METHODS &
COMBINATORIAL LIBRARIES (Peptides, Proteins, Nucleic Acids, etc...)

Satellite Symposium:

2nd International Symposium
PROTEOMIC, COMBINATORIAL & OTHER METHODS FOR DRUG DISCOVERY,
DEVELOPMENT & DELIVERY - Complementary Vaccine Strategies

DELEGATE CONTACT DETAILS

Name & Style

(Prof, Dr, Mr, Ms, etc)

Accompanying Person

(Non-scientific) (if any)

Address

(University, Company, etc)

Phone Number

Fax Number

E-Mail Address

Special Requests

(e.g. Vegetarian diet, etc)

Primary Scientific Interests

(Click those which apply)

SPS/Combichem Yes No

Peptide/ Protein Yes No

Nucleic Acids Yes No

Small OrganicsYes No

Drug Discovery Yes No

Antibody/ VaccineYes No

 

DETAILS OF ABSTRACT SUBMISSION (if any)

Abstract Title (If any)

(Contributed Lecture,
Poster, etc )

Type of Abstract (if any)

.... Lecture | .... Short Oral | .... Poster | .... None

Please Click here for Abstract Preparation/Submission & Submission Deadlines

Intended Date of Lecture/Poster Abstract Submission (if any)

.... Submitting Now | .... By Due Date | .... None

Send Abstract by MS Word E-mail attachment (separate to this form) to....
.... Symposium Chairman, Prof Roger Epton r.epton@mayflower.demon.co.uk

UNIVERSITY ROOM RESERVATION (if required)

Type of University Room Reservation Required (if any)

Potential delegates who Provisionally Register via this form and who wish to reserve a University Room please indicate below. Final Room Booking Instructions will be sent out promptly by the Symposium Secretariat.
Note that Final University Room Bookings are made directly with the University (UEA Conferences Norwich). Direct On-line booking and direct payment to UEA Conferences Norwich can be made by credit card.

.... Room+Bkfst Only |.... Evening Dinner+Room+Bkfst |.... None

Please Click here for More University Room Information and for Fee Schedules

REGISTRATION and EVENTS BOOKING

Please Indicate or Confirm Type of Delegate Registration:-

.... Academic, etc | .... Industry | .... Student | .... Other

Please Click here for Registration Deadlines and Registration Fee Schedule

All Registrations will be promptly acknowledged. Final or Provisional Registration (see below) is essential if submitting an Abstract or Abstract Title.

Please Indicate if a Final or Provisional Booking:-

.... Provisional Booking Only | .... Final Registration & Events Booking

Provisional Registration option should only be used for purpose of Early Abstract/ Abstract Title Submission or to notify a provisional (temporary) University Room Booking.

Registration and Event Bookings Required (Click Check Boxes):-

Delegate Concessionary Registration Fee
(University/ Hospital/ Public Sector Delegates, etc. up to 27th July)
.. £GBP 255.... Delegate Concessionary Registration |

Delegate Full Registration Fee
(All Industry Based Delegates up to 14th August)
(All Other Delegates from 28th July up to 14th August)
.. £GBP 345.... Delegate Full Registration |

Pre-doctoral Full-time Student Registration Fee
(Up to 28th July) (University/ Hospital/ Public Sector-based Students)
.. £GBP 120.... Student Registration Only |

Accompanying Person's (Non-scientific) Registration Fee
(Up to 14th August) (Attending On-Campus Social Events but NOT Scientific Lectures and NOT attending in order to gain scientific/technical information/benefit from the Symposium Exhibition)
.. £GBP 20.... Accompanying Person Registration (if any) |

**************

Symposium Visit to Sandringham Ticket(s)

.. £GBP 25.... One Ticket | .. £GBP 25.... Additional Ticket

**************

Symposium Evening Dinner Ticket(s) (Tue 28/ Wed 29/ Thu 30 Aug)

(CARE ! Not needed if booked separately via University Half-board Room Option)

.. £GBP 14.10... Tue 28 | .. £GBP 14.10... Wed 29 | .. £GBP 14.10... Thu 30

Symposium Farewell Banquet Ticket(s) (Fri 31 Aug)

(CARE ! Not needed if booked separately via University Half-board Room Option)

.. £GBP 48.... One Ticket | .. £GBP 48.... Additional Ticket

Total Registration, Meals & Events Fees to Pay = £GBP

REGISTRATION & EVENTS FEES WILL BE PAID BY:-

Option 1.
CREDIT CARD #
ON-LINE NOW
Yes No

Option 2.
CHEQUE/ BANK DRAFT
BY MAIL/ AIR MAIL
Yes No

Option 3.
ELECTRONIC
BANK TRANSFER
Yes No

# If paying by Credit Card, please insert Card Holder Name below if different to Delegate.

NOW PRINT OUT COPY OF THE FORM FOR YOUR RECORDS &
CLICK "SEND FORM TO SECRETARIAT" PANEL BELOW TO FORWARD
YOUR REGISTRATION & EVENT BOOKING REQUIREMENTS:-

NOW PROCEED TO MAKE PAYMENT BY YOUR CHOSEN OPTION:-

Option 1. ON-LINE PAYMENT NOW BY CREDIT CARD (or PAYPAL)

Confirm & Enter Sum Total Registration & Events Fees Here

£GBP

Click Button Panel Below To Pay Now By Credit Card or By PayPal

Substitutions & Cancellations:
Refund of fees paid will be made on cancellations received up to 16th July 2007, less a 20% deduction to cover non- returnable booking/ administrative charges. Refunds cannot be made on cancellations received after 16th July 2007 but substitution of delegates can be made at any time.

You will then be transfered to a secure web site to make your payment.

Option 2. MAIL/ AIR MAIL PAYMENT BY UK CHEQUE / BANKER'S DRAFT

ONLY complete this section if paying by Cheque/Banker's Draft

Confirm Name & Style

(Prof, Dr, Mr, Ms, etc)

Confirm E-mail

Mail/ Air Mail Submission

Enclosed Payment by £GBP Cheque/ £GBP Banker's Draft, drawn on a London or other UK Bank, made payable to the 'Mayflower Worldwide Ltd'

Confirm Sum Total Fees to Pay: £GBP

(For Registration and Events)

For forms submitted prior to 1st July 2007, payment is due within 4 weeks of the Form Submission Date (see below)


Delegate's Signature

(Mail/ Air Mail only)


Substitutions & Cancellations:
Refund of fees paid will be made on cancellations received up to 16th July 2007, less a 20% deduction to cover non- returnable booking/ administrative charges. Refunds cannot be made on cancellations received after 16th July 2007 but substitution of delegates can be made at any time.

.

Delegate Signature

Form Submission Date

Submission Instructions For Mail/ Air Mail Payment by UK Cheque or Banker's Draft -
Mail/ Air Mail your £GBP Cheque or Banker's Draft (must be in £GBP drawn on a UK Bank),
together with the "Option 2 Section" of the Form only (completed by hand), to the:-
Norwich 2007 Symposium Secretariat,
P.O. Box 13, KINGSWINFORD, West Midlands, DY6 0HR, ENGLAND, UK;
TEL/FAX: International: +44 1384 279324; National (UK) 01384 279324;
E-mail: r.epton@mayflower.demon.co.uk

Option 3. PREPAID ELECTRONIC BANK TRANSFER PAYMENT

ONLY complete this section if paying by Bank Transfer

Confirm Name & Style

(Prof, Dr, Mr, Ms, etc)

Confirm E-mail

Mail/ Air Mail/ Fax Notification

Payment being made by Prepaid Electronic Bank Transfer (copy of Bank Instruction enclosed/ forwarded with this Mail/ Air Mail/ Fax Notification). Electronic Bank Transfer Instruction must use SWIFT Code RBOSGB2L & IBAN Number GB67 RBOS 1634 31 11 7452 98 to send payment via Royal Bank of Scotland (RBOS) (International Services), P.O. Box 348, LONDON, N1 8XL, ENGLAND, UK. This IBAN Number codes for the RBOS Wolverhampton Branch, Sort Code 16-34-31 with payment to be credited to Mayflower Worldwide Ltd, Ac/No 11745298 (Essential to quote Sort Code and Ac/No plus Delegate Name and 'NORWICH 2007 SYMPOSIUM' on Bank Transfer Instruction).

Confirm Sum Total Fees to Pay: £GBP

(For Registration and Events)

For forms submitted prior to 1st July 2007, payment is due within 4 weeks of the Form Submission Date (see below)


Delegate's Signature

(Fax/ Mail/ Air Mail Notification only)


Substitutions & Cancellations:
Refund of fees paid will be made on cancellations received up to 16th July 2007, less a 20% deduction to cover non- returnable booking/ administrative charges. Refunds cannot be made on cancellations received after 16th July 2007 but substitution of delegates can be made at any time.

.

Delegate Signature

Form Submission Date

Secretariat Notification Instructions For Prepaid Electronic Bank Transfer Payment
Mail/ Air Mail/ Fax copy of your Bank Transfer Instruction (as sent already to your bank),
together with this "Option 3 Section" of the Form only (completed by hand), to:-
Norwich 2007 Symposium Secretariat,
P.O. Box 13, KINGSWINFORD, West Midlands, DY6 0HR, ENGLAND, UK;
TEL/FAX: International: +44 1384 279324; National (UK) 01384 279324;
E-mail: r.epton@mayflower.demon.co.uk

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