Microbiology Education Scheme Registration form for CPD
To register for Microbiology Education Series scheme, simply print out and complete this form,
then return it to the address below by any suitable method. You will receive your unique MES
registration number upon receipt of appropriate payment. (See payment details)
Title: Surname: ..First Name: ................... ..
Department:
Institute:
Address
Post Code:
Telephone Number (inc STD Code): ...... Ext:
Fax No: ......
Email Address: ....
IBMS/HPC Registration No: .....
Cosmos Biomedical Ltd
Address: PO BOX 6654, Swadlincote. Derbyshire. DE12 7XB. UK
Tel/Fax 01530 272738 or Mobile: 07970 907977 / 07973 215356
Email: info@cosmosbiomedical.com www.cosmosbiomedical.com