Registration form

Registration deadline is 26th MARCH 2010. It is possible to register after this date-please see Terms & Conditions.

Please kindly complete all fields below to pre-book a place at the BrAVO event.

Once completed, please click Submit at the end of this form and your details will be passed to our event registration team. You will be contacted shortly afterwards to take payment and confirm your booking.

DELEGATE INFORMATION

Title Forename * Surname * Email Address * Telephone Number * Mobile Number Organisation Address 1 * Address 2 City * County / State * Postcode / Zip * Country *

All of the above fields marked with a * are required.

BRAVO MEMBERSHIP

Current BrAVO Member Yes No

If you are not currently a member but would like to join please tick here

All members will also need to renew their BrAVO annual membership when they register.

Renewal cost £35.00

If you would like to join please email BrAVO Secretary claudia.hartley@aht.org.uk

ABSTRACT SUBMISSION

I intend to submit an abstract

DELEGATE RATES

RATE OPTIONS	FEE
Spring Satellite Meeting - all members	£100
Spring Satellite Meeting - non members	£120
Students and nurses	£50

All rates are inclusive of VAT at the prevailing rate of 17.5%.

ADDITIONAL INFORMATION

Please Advise of Any Special Dietary Requirements You May Have

Do You Have Any Other Special Requirements (e.g. Disabled Access)

Agreed to Terms & Conditions