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EAsDEC CONFERENCE BOOKING FORM |
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Please use the form below to make bookings for yourself as a delegate. Please check all details before making the payment. If you would like a colleague to make an additional booking as a delegate please forward the address of this site to your colleague. | |||||||||||||||||
Please note: The booking does not include accommodation. | |||||||||||||||||
Your Details |
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* indicates the compulsory fields |
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Title | Mr, Mrs, Dr, . . . | ||||||||||||||||
First name * | |||||||||||||||||
Surname * | |||||||||||||||||
Email * | |||||||||||||||||
Address * | |||||||||||||||||
Town/City | |||||||||||||||||
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Country * | |||||||||||||||||
Telephone * | |||||||||||||||||
Organisation | |||||||||||||||||
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Registration Fee: £195 This fee includes the Welcome Reception but please do un-tick below should you NOT be able to attend. Clinical and research trainees If you are eligible for Clinical and research trainees rate AND your abstract has been accepted, please contact webadmin@easdec.org to request a link for concessionary registration. Please do not register here or make any payment - If you make any payment now a handling charge may be incurred when refunding the difference. |
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Welcome Reception and Gala Dinner | |||||||||||||||||
The following applies to you, as the delegate. You may book places for your guests later.
* Please untick if you do not wish to attend the Welcome Reception | |||||||||||||||||
Gala Dinner £20 | |||||||||||||||||
I prefer the vegetarian option for meals * Please Note: Please contact the EAsDEC conference team if you have any other dietary requirements. |
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I will be attending the Welcome Reception. | |||||||||||||||||
Please indicate if you would like to receive information about the Friday daytime social programme | |||||||||||||||||
Accompanying guest |
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Please tick the box on the right if a guest is accompanying you (£50). | |||||||||||||||||
Guest Title * | |||||||||||||||||
First name of guest * | |||||||||||||||||
Surname of guest * | |||||||||||||||||
My Guest will attend the Welcome Reception. | |||||||||||||||||
My Guest will attend the Gala Dinner. | |||||||||||||||||
Please tick the box on the right if your guest prefers the vegetarian option for meals * Please Note: Please contact the EAsDEC conference team if your guest has any other dietary requirements. |
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Second Accompanying guest |
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Please tick the box on the right if another guest is accompanying you (£50). | |||||||||||||||||
Guest Title * | |||||||||||||||||
First name of guest * | |||||||||||||||||
Surname of guest * | |||||||||||||||||
My Guest will attend the Welcome Reception. | |||||||||||||||||
My Guest will attend the Gala Dinner. | |||||||||||||||||
Please tick the box on the right if your guest prefers the vegetarian option for meals * Please Note: Please contact the EAsDEC conference team if any of you guests have any other dietary requirements. |
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TOTAL: £ 195
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Payment by cheque | |||||||||||||||||
ONLY If you live in the UK and wish to pay by cheque then tick the box on the right. Payment details for UK cheques are shown later. | |||||||||||||||||
Confirm your booking | |||||||||||||||||
By clicking on the continue button you agree to terms and conditions (this will open in a pop-up window) | |||||||||||||||||
Conference SponsorsThe EAsDEC Board and the Organising Committee of the 35th Annual Conference are grateful to the following sponsors for their support which is provided for the purpose of healthcare-related education and to enhance patient careGold sponsors Roche, Bayer Silver sponsors ABBVIE, Boehringer-Ingleheim, Canon, iCare, OPTOS, NEC Health Bronze sponosrs Alimera, Heidelberg, Medisight | |||||||||||||||||
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