Perinatal Trainees Meeting

The Council Chamber, Royal College of Paediatrics & Child Health, London WC1X 8SH

23 September 2011

[ programme | information | registration ]

Register Online

Please use this form to register for the Perinatal Trainees Meeting. Fields in bold are compulsory. Please note that registrations will not be confirmed until payment has been made.

Please book place(s) at the Perinatal Trainees Day on 23 September 2011
Please give details of all attendees
Title:
First Name:
Last Name:
Position:
Organisation:
Address:
Post Code:
Tel:
Email:
Allow details to appear on the delegate list:
Would you like to reserve a Lunchtime Surgery session (allocated on a first come, first served basis):

 
Additional Attendee - Title:
First Name:
Last Name:
Position:
Organisation:
Address:
Post Code:
Tel:
Email:
Allow details to appear on the delegate list:
Would you like to reserve a Lunchtime Surgery session (allocated on a first come, first served basis):

Prices:
Up to 23 August 2011 - £105
From 24 August 2011 - £115
Payment Due I will send payment of to BAPM.
See below

When you have completed this form please click the 'Register' button below and then either send your payment by cheque to British Association of Perinatal Medicine, 5-11 Theobalds Road, London WC1X 8SH or telephone 0207 092 6086 with your credit card details. We do not have facilities to take payments via the website.

Please note that your registration will not be confirmed until payment is received.