Event registration

Please complete the form below to register for

About you

Fields marked with * are mandatory

*Surname
*Forename(s)
*Title
*Nationality

Your organisation

*Organisation name
Type of organisation
Your position / job title
*Postal address of organisation
*Post code
Website address of organisation
Areas of interest (e.g. electronic. aerospace, etc)
*Email
Email 2
*Telephone
Telephone 2
Fax

Additonal information

Specific dietary requirements (e.g. vegetarian, allergies)
Specific access requirements (e.g. wheelchair, disabled parking)
How did you hear about this event? If other please specify

Removal from the delgate list

All delegate names, organisations and email addresses will be consolidated in a single list and included in all delegate packs

Exclude from future MOD emails

Delegate contact information will be used by MOD in connection with this event and for informing, through email, about similar MOD science, technology and research news and events. This information will be used only in connection with MOD events and not divulged or used for commercial purposes.

Centre for Defence Enterprise