ࡱ> %` ^bjbj"x"x 8*@@^ (l l l l 4 (A( bAdAdAdAdAdAdA$ ChsEA  A A  *A8bA>D? =Ul ^?&@DA0A?JFt(FL?F? Z5@u4/ AA A(((Dl (((l (((  ECG Atmospheric 91AV Forum, 2 April 2009 Application Form To register for the Forum, please complete the form below and return it together with an abstract of your presentation and registration cheque (if applicable). The meeting is free to members of the RSC. The organising committee offers a number of bursaries to RSC members to help with reasonable travel expenses. Priority for bursaries will be given to delegates giving a talk or presenting a poster. Please help us spread these bursaries widely by travelling off-peak, booking advanced fares, using rail cards etc wherever possible. The registration fee is 35 for non-RSC members and, unfortunately, travel bursaries cannot be paid to non-members. Numbers for this meeting are limited so early application is recommended. Name:... Status (PhD year / career stage) .... Department, Institution .. ... Postal Address ....... ... Tel. E-mail:.. Any special requirements? ..................... I would prefer to present a poster ( a talk ( Title of presentation: .................................................................... ................................................ ( I am a member of the RSC; my membership number is ( I am also a member of the Environmental 91AV Group / Gas Kinetics Discussion Group (delete as applicable) ( I am currently applying for membership of the RSC (NB this must be completed before the meeting) ( I wish to apply for a travel bursary, estimated travel costs .......... Travel bursaries are only available to delegates who are members of the RSC on the day of the meeting. ( I am not a member, Cheque enclosed for 35.00 payable to RSC Environmental 91AV Group Signed Date Data Protection: After the meeting, we would like to publish a list of talk & poster titles together with the presenters name and affiliation in ECG Bulletin, the 6-monthly publication of the Environmental 91AV Group, and on the ECG website (www.rsc.org/ecg); if you would prefer not to appear, please tick (. Please attach (and email) an abstract of your research presentation (max side A4). Send the completed form and abstract to: Dr W Bloss, School of Geography, Earth & Environmental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT. Email: w.j.bloss@bham.ac.uk We will confirm successful registrations, talk/poster presentations and bursary awards via email around 28 Feb 2009. If over-subscribed, preference will be given to postgraduate students and early-career researchers who are ECG or GKDG members. For further information on the meeting, please contact Dr William Bloss, w.j.bloss@bham.ac.uk or Dr Stephen Ball, sb263@leicester.ac.uk. 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