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June 2010 London Conference Payment Form
Payment will be secure on-line via
Title:
Dr
Mr
Mrs
Miss
Ms
Surname:
First name:
Address:
Telephone:
Email address:
Society or Professional Affiliation:
Saturday Conference only, to include Lunch & Reception
£120.00
(Students £60.00)
Saturday Conference
and
Sunday Clinical Seminar
£180.00
(Students £90.00)
Please tick
one
box to go to our on-line payment page
Saturday 26 June only
£120.00
Students £60.00
Saturday 26 June
and
Sunday 27 June
£180.00
Students £90.00
Late Registration
(after 15 May 2010)
Saturday Conference only, to include Lunch & Reception
£150.00
(Students £75.00)
Saturday Conference
and
Sunday Clinical Seminar
£210.00
(Students £90.00)
Cancellations
Before 31 December 2009: 75% of the registration fee will be refunded
Between 1 January - 30 April 2010: 50% of the registration fee will be refunded
After 1 May 2010: no refund