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Innovations Club Membership registration form

Registration

The STFC Innovations Club is set up to further the opportunities for Knowledge Exchange. Membership of this club is free of charge and provides organisations and individuals the opportunity to search for potential collaborative partners and present some more information on your organisation and areas of interest. Further Information on the organisation is available by clicking on Innovations Club.

You can sign up by completing the registration form below and you can select if you would like to register for membership of any of the special interest groups.

Please complete the following fields to register for the STFC Innovations Club.

Fields marked with a ^* are mandatory.

Personal information

Title:*

First name:*

Surname:*

Job Title:*

Email address:*

Direct Telephone: *
Country-Area-Number

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Direct Fax:
Country- Area- Number:

+ ( )

Mobile:
Country- Area- Number

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Is your activity academic, industrial or other (by "other" we mean government, charity, technical transfer officers and other public sector bodies)?*

Organisation information

Organisation name:*

Business Unit / Research Group name:

Address1:*

Address2:

Address3:

Town:*

County:

Postcode / Zip code:*

Country:

Website address:

How would you describe its size?*

What type of organisation is it?*

UK region or devolved administration:*

Industry

Which 'industry sector' are you in? (This refers to the sector in which your organisation operates rather than the customers you supply)*

Special interest groups

Science and Technology Facilities Council Innovations Club(Please check any Science and Technology Facilities Council Innovations Club special interest groups in which you are interested or already active. This will enable us to advise you of areas of specific interest.)
Defence, security and aerospace sub-group
Life science and healthcare sub-group
IT sub-group

Page last updated: 07 April 2009 by Andi Kidd