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Registration form for 21st Annual Scientific Meeting
Title:
*
First Name:
*
Surname:
*
Contact Address:
*
Tel Numbers (incl area code):
*
Email Address:
*
Please indicate your status:
BSS Member
Membership No.
Non Members
Students
Details preferred on conference badge:
Name:
*
Hospital/Unit/Other:
*
Certificate Required:
Yes
No
BSS Membership
(fee per annum) please complete attached registration form (new member)
£25.00
Registration Fees
includes attendance at all scientific sessions, conference programme/abstract booklet, all morning, lunchtime and afternoon refreshments, Sunday symposium, reception and buffet meal* (excluding non residents, a charge of £20.00 for the meal) Early registration advisable due to limited number of delegates.
BSS Members
Non Members
Students#
Full Conference
27-29 September
£150.00
£n/c
£75.00
£75.00
£280.00
£n/c
£140.00
£140.00
£80.00
£n/c
£40.00
£40.00
Evening Symposium
27 September
Single Day rate
28 September
29 September
#Students: Please
supply a letter from your supervisor/tutor confirming your student status etc.
Accommodation
with free internet access in all rooms
†Please note: Supplement per night for twin room (applicable to 2nd person sharing twin room - limited number available)
Two nights B/B
One night B/B
Extra night B/B
Twin room required
27-28 September
27 September
28 September
29 September
per night supplement†
£160.00
£80.00
£80.00
£80.00
£40.00
Name of person sharing:
If you intend to make your own accommodation arrangements please tick this box
Car Parking
provided locally please tick if you require a parking permit
Sunday Evening Symposium buffet meal*
(non resident)
£20.00
Monday Evening Gala Dinner
Members
£35.00
Non-members
£45.00
Specific dietary requirements:
Special Interest Lunches
Please indicate if you wish to attend the special interest lunches (buffet provided)
None
28 September - How to write
(and submit) a scientific paper
28 September - Actigraphy
29 September - Paediatrics
(Limited Numbers–apply early)
TOTAL Costs
Membership
£
00.00
Registration
£
00.00
Accommodation
£
00.00
Symposium Buffet (non resident)
£
00.00
Gala Dinner
£
00.00
Total amount due
£
00.00
Method of payment:
Cheque enclosed
Please make cheques payable to ‘British Sleep Society’
BACS payment
Credit card using PayPal
Invoice (state address to be sent to)
Cancellations after 31 August: Refunds at the discretion of the organisers