Workshops Registration Form

Items marked with * are required.
Workshop
Select a workshop*
Personal Profile
Prefix	Mr. Mrs. Miss
Name-Family name *
Academic title (if any)
Academic status	Lecturer Researcher Student Other Please complete if other
Faculty/School/Department *
University/Institute*
Contact Information
Name of affiliation
Address*
Phone number*
Mobile number*
Fax number
EMAIL ADDRESS*
Comments

To secure a place on any workshop please pay the required deposit of 10,000 Baht You may contact mrcthailand@gmail.com for payment details

Mushroom Research Centre Workshops

27 – 31 May 2019 (5 days)
(Apply before 1 May 2019)

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We welcome individuals and groups wishing to use the facilities at The Mushroom Research Center.