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Conference Registration

Please complete your payment details below. Payment for the conference is accepted on-line, by cheque or by telephone (01727 858840). Cancellation Policy: A 75% refund will be given to cancellations received before 22nd October, 0% will be refunded after this date.

Your Information

All fields are mandatory.

Name:	*
Company:	*
Position/Title:	*
Street Address:	*
City:	*
County/State:	*
Postal Code:	*
Country:
Telephone:	*
Fax:	*
Email:	*

Check all that apply and choose the conference from the list you are interested in

I would like to attend conferences on the following days: *

Wednesday 10th Nov. 2010 (£55 +VAT per person)
Thursday 11th Nov. 2010 (£55 +VAT per person)
Special Price: Both Days (£100 +VAT per person)

Interested in Gala Dinner?

I would also like to attend the Gala Dinner on 10th November 2010 (£65 +VAT per person)

Total Cost:£

Please Choose Payment Method

If you choose Cheque payment, Please send the Cheque payment to :

International Labmate Ltd
Oak Court Business Centre
Sandridge Park, Porters wood,
St Albans, Herts, AL3 6PH, United Kinddom.

Credit Card/ Debit
Invoice
Cheque

Please use my card details. (please fill in your card details below, a receipt in email form will be sent to you upon completion)

Card Type:
Card Number:
CVV2 Number (last 3 digits):
Card Holder Name:
Expiry Date (eg. 05/03):
Billing address details
Street:
City:
County/State:
Postal Code:
Country:

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