2nd   ANNUAL NIHR TRAINEES CONFERENCE
    10-11 September 2008
Renaissance Manchester Hotel
     
     

 

  registration form

To register to attend the conference please complete the form below

Form Navigation
Please use the TAB or Mouse to move to the next field
All fields marked with an asterisk * MUST be completed
When you have completed the form press the SUBMIT button.
You will see a confirmation on the screen.

contact details
   
Title * (Prof, Dr, Mr, Ms, other-please state)
   
First name *
   
Last name *
   
Position *
   
Organisation *
   
Address *
 
 
 
   
Postcode *
   
Telephone *
   
Email *
   
   
Level of award *
   
Start date *
   
Please indicate your attendance at the conference
   
Whole conference
10 September
11 September
   
Hotel accommodation will be provided, if required by delegates, for the night of 10 September at the Renaissance Manchester Hotel or at hotels nearby.
   

I will require accommodation

   

I will not require accommodation
   
Specific dietary requirements, eg vegetarian (if applicable please give details)
 
Other needs, eg access (if applicable please give details)

 

research interests
Please give details of your research interests. This information will be collated for circulation to other delagates attending the conference for the purpose of collaboration. (250 words maximum)
 
I agree that my contact details can be circulated to other delegates
I do not agree that my contact details can be circulated to other delegates
 

 
 
message (optional)
 
 
* Please tick box when you are ready to submit your details
 
The data provided on this form will be held on a database in accordance with the Data Protection Act and will only be used under the strict control of NIHR.
 
 
 

CONFERENCE ADMINISTRATION

Professional Briefings
37 Star Street
Ware
Hertfordshire
SG12 7AA

Telephone: 01920 487672
Fax: 01920 462730
Email: bookings@profbriefings.co.uk