3rd   ANNUAL NIHR TRAINEES CONFERENCE
    22-23 September 2009
The Midland Hotel, Manchester
     
     

 

  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 *
   
   
Please indicate your attendance at the conference
   
Whole conference
22 September only
23 September only
   
Hotel accommodation will be provided, if required by delegates, for the night of 22 September at the the Midland Hotel Manchester
   

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)

 

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