New Chemistry of the Elements

Symposium Dinner Pre-Booking Form

Booking is essential to attend the dinner. Please return the form by Wednesday 3rd December 2008.

Dinner in Honour of Lord Lewis

19.30 on Thursday, 11th December, 2008
The Royal Society, 6-9 Carlton House Terrace, London SW1Y 5AG

Please insert your name, address, telephone number and e-mail address:
Name:
Address:
Telephone:
e-mail address:

I, __________________ (please print name) wish to attend the dinner at the Royal Society on the evening of 11th December and wish/do not wish to bring a guest, ____________________ (please print name of guest).

I/my guest have the following dietary requirements:
_________________________________________________________
_________________________________________________________
_________________________________________________________

I enclose a cheque for £_________ (£75.00 per head) made payable to “The University of Bath”.

Please send the form and cheque to:
Professor Paul R. Raithby
Department of Chemistry
University of Bath
Bath BA2 7AY
UK