Workshop on Experimental Mechanics 2019

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the details below in order for us to process your application.
Email addresses you provide will be used to keep you up to date with BSSM news and events, unless you tell us you do not want us to do so. For details on how we use the information supplied please see our Privacy Notice at www.bssm.org/privacypolicy

The workshop has limited spaces and places will be allocated on registration.

Monday 1st April to Friday 5th April 2019
Venue: Highfield Campus, University of Southampton, UK.

Email *

Name *

Institution *

Address *

Postcode *

Tel: *

Fees - all fees inc. VAT *

Students £300 (proof of PhD student status required from supervisor/advisor)

Industrial delegates £1320

Industrial delegates (members of BSSM) £1080

I wish to attend Day 1 £456

Days 2 and 3 £912

Day 4 £456

Become a BSSM member and attend at the members rate - all fees inc. VAT

Individual membership £66

Corporate 1 Industrial £960

Corporate 2 Industrial £492

Corporate 2 Educational £330

Retired/Student £36.00

SEM (joint) membership £102.00

Lifetime £1200

Clear selection

Payment Method

1. Bank Transfer: Sort code 30 12 04, Account no 00930576, International customers: IBAN – GB66LOYD30120400930576 BIC - LOYDGB21420 Swift LOYDGB2L206

Bank Transfer

2. We can invoice your company

Invoice

3. Pay by credit/debit card (NOT AMEX):

To pay by credit card please call 07756 915295 or +44 (0)7756 915295 overseas

Credit card

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms