Request for RSC Freebies

University:
ChemSoc Name:
Name of ChemSoc Officer
Mailing Address: (please note that a signature is required upon delivery)
Telephone Number:
Email:
Reason for request (please indicate the numbers expected at your event)
Date required (please allow 2 weeks):

Items:	The following items are included in our standard freebie box: (the quantities are fixed)
Student Application Forms
Postgraduate Application Forms
Member and Fellow Application Forms (available upon request)
Chemistry Posters (in sets of 5 different posters)
Blank Event Posters
Pens
Postcards
RSC News
Stickers
Upon request for freebies one standard box will be distributed, an extra box can be ordered if required.
Is an extra box required?	Yes No

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