REFEREE'S REGISTRATION FORM

Dear All,
We are very keen to broaden the number of referees we have for LLC, and would like to here from you if you are interested in participating. To apply to become a referee could you please fill in the form below.

Thanks in advance.

Marilyn Deegan

DETAILS

Your Name (including title):

Your Current Position:

Your Institution:

Postal Address:

E-mail Address:

Telephone:

Fax:

PLEASE INDICATE BELOW YOUR AREAS OF RESEARCH/TEACHING WITH RELATION TO THE MATERIAL COVERED IN LLC: