Registration Form for 2013 SHAC Spring Meeting

The Registration cost is £6 for SHAC members, £6 for students and £10 for non-members (please note that the cost has been subsidised for this meeting). Payment may be made by cheque, payable to the Society for the History of Alchemy and Chemistry and sent to the Hon Secretary, Dr Anna Marie Roos, secretary@ambix.org, or online via PayPal (which will be available after registration).

If you have already not done so, you may read more about the programme of this SHAC Meeting here.

Your Full Name (required)

Your Email (required)

Subject: SHAC Spring Meeting Registration

I am a (required)

If Student, I am currently enrolled at the following University:* (enter below)

*As proof of student status, you will need to bring your university ID with you to the meeting. Alternatively, you may attach a copy of your ID as a .JPG or .PDF file below:

Areas of Interest (optional):

I am planning to pay by:
 PayPal Cheque

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