PERSONAL DETAILS    
Title*    
First Name*    
Family Name*    
Primary Specialism*
(NB if Other please specify)

   
Job Title*    
Hospital/Workplace name*    
Department    
Address 1*    
Address 2    
Town*    
Postcode/Zip*    
Telephone Number*    
Mobile Number    
Email Address*    
       
Special Requirements
Wheelchair Access
Vegetarian
Vegan
Gluten Free
   
Other Special Requirements

REGISTRATION

Registration fees for the BSACI 2019 Annual Meeting, 3rd October to 5th October 2019. Registration fees include the following:
- Admission to all sessions
- Admission to exhibition
- All meeting materials
- Tea, coffee and lunch on each day of the meeting
- Certificate of attendance
- VAT at 20%

Please select which registration category is applicable. If you will be attending as a day delegate please select
'Daily Rate' and the relevant fees will appear.

Category

Early Bird
Until 31st July 2019
From 1st August
until 23rd Sept 2019
On Site
BSACI Member
£320.00
£377.00
£477.00
Non Member
£520.00
£612.00
£655.00
Primary Care Professional (non-member) £407.00 £493.00
£575.00
Allied Health Professional (BSACI member)
£185.00
£216.00
£305.00
Allied Health Professional (non-member) £374.00 £448.00
£528.00
BSACI Junior Member
£144.00
£144.00
£173.00
Student/Trainee
£85.00
£85.00
£102.00
Daily Rate
DAILY REGISTRATION FEES
Please select the day(s) you will be attending the Meeting and then select a category from the list below
Thur 3rd October      
Fri 4th October  
   
Sat 5th October  
   

Category for Daily Registration

 
Early Bird
Until 31st July 2019
From 1st August
until 23rd Sept 2019
On Site
BSACI Member  
£138.00
£165.00
£234.00
Non Member  
£215.00
£244.00
£305.00
Primary Care Professional (non-member)   £163.00 £191.00
£242.00
Allied Health Professional (BSACI member)  
£95.00
£123.00
£166.00
Allied Health Professional (non-member)   £176.00 £198.00
£301.00
BSACI Junior Member  
£56.00
£56.00
£67.00
Student/Trainee  
£33.00
£33.00
£40.00

Social Event
Please tick below if you would like to purchase tickets to the Welcome Reception  
   

Welcome Reception, Thursday 3rd October 2019 £25

Welcome Reception, Thursday 3rd October 2019
Please select how many tickets are required, cost £25: