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Association
for Microwave Power
in Europe for Research
and Education
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|
Association
for Microwave Power
in Europe for Research
and Education
| Subscription Order Form |
| Name: | Title: | |||
| Affiliation: | Category of Business: |
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| Address: | ||||
| Post Code: | Country: | |||
| Tel.: | Fax: | |||
| E-mail: | ||||
Please, tick the appropriate box:
| Europe | [ ] 1 year @ £30.00 |
| [ ] 2 year @ £50.00 | |
| Rest of the World | [ ] 1 year @ £35.00 |
| [ ] 2 year @ £60.00 |
[ ] Please, invoice me.
[ ] I enclose a cheque/money order to the value of ..............................................................................
[ ] Please charge my credit card account number
| Number: | __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/ | ||
| Name on card: | |||
| Date: | [ ] MasterCard [ ] Visa |
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| Valid until: | |||
Please, return this form together with your payment to:
Mrs. June Lennie
(Cheques to be payable to IPTME - Loughborough University in
POUNDS STERLING)