The purpose of this electronic application form is to enable delegates to book places on modules.
The items marked in red are required fields and need to be completed before the form will be sent successfully.
Name:
Title: Mr. Mrs. Miss Ms. Dr.
Academic qualifications (BSc, MEng, HND, other) and grade
Discipline:
Job title:
Company:
Address for correspondence
Post code.
Phone no.
Fax no.
E-mail address:
Please reserve a place for the following module(s)
Order number:
Name of person to be invoiced.
Address for invoice.
School of Chemical Engineering and Advanced Materials Merz Court, Claremont Road Newcastle upon Tyne, NE1 7RU, UK
