Please complete the form below to register your attendance at this meeting.

Name*

Title

Email*

Professional Status

Institution*

Country*

Please select package:*

Full Package [£300 stg] *
Day Passes Both Days [€110] **
Day Passes Both Days with Dinner [€175] ** †
Trainee Rate - Both Days [€50]
Trainee Rate - Both Days with Dinner [€115] †
Day Pass Thursday [€55]
Day Pass Thursday with Dinner [€120] †
Day Pass Friday [€70]
Day Pass Friday with Dinner [€135] †

* Full Package includes 1 night accommodation, Lunches and coffee each day, Transport to and from meeting, and Conference Dinner.

** Day Passes include lunches and coffee

† Conference Dinner is on Thursday 19 October, in the Medical Residence, 59 Eccles Street.

Payment method

Credit card*

CVV*

The CVV number is a 3 or 4 digit security code printed on the front or back of your card.

Card expiry month*

Card expiry year*