Bookings

Job Title*

Hospital*

Organisation

Contact Address*

Contact Email*

Please be aware some NHS accounts will not accept emails from our system, if possible, please provide an alternative email address

All emails will be copied to this address.

Contact Telephone*

Membership Status*

Membership Status

Membership/Participant No.

Membership/Participant No.*

Event Attendance

Please tick all of the days of the event you wish to attend:

FULL - Please contact us to be put on the waiting list FULL - Please contact us to be put on the waiting list

The price to book the full event is £

Event Attendance

Attendee Quantity*

s Meeting Options s Workshops

Dietary Requirements

Parking

Accommodation

General Notes

How Did You Hear About This Event?

Payment*

Total Booking Cost

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Event Registration