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

   
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 2017 Annual Meeting, 1st October to 3rd October 2017. 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 2017
From 1st Aug
until 22nd Sept 2017
BSACI Member
£310.00
£366.00
Non Member
£458.00
£495.00
Primary Care Professional (non-member) £360.00 £435.00
Allied Health Professional (BSACI member)
£180.00
£210.00
Allied Health Professional (non-member) £330.00 £395.00
BSACI Junior Member
£140.00
£140.00
Student/Trainee
£82.00
£82.00
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
Sunday Ist October    
Monday 2nd October  
 
Saturday 3rd October  
 

Category for Daily Registration

 
Early Bird
Until 31st July 2017
From 1st Aug
until 22nd Sept 2017
BSACI Member  
£134.00
£160.00
Non Member  
£190.00
£216.00
Primary Care Professional (non-member)   £144.00 £170.00
Allied Health Professional (BSACI member)  
£92.00
£119.00
Allied Health Professional (non-member)   £155.00 £175.00
BSACI Junior Member  
£54.00
£54.00
Student/Trainee  
£32.00
£32.00

Social Events
Please indicate below if you would like to purchase tickets to the Welcome Reception and Ceilidh  
   

Welcome Reception, Sunday 1st October 2017 £25

Welcome Reception, Sunday 1st October 2017
Please select how many tickets are required, cost £25:
 

Ceilidh, Monday 2nd October 2017 £35

Ceilidh, Monday 2nd October 2017
Please select how many tickets are required, cost £35
 

Both social events – Special Offer £55

Welcome Reception Sunday 1st AND Ceilidh Monday 2nd October
Please select how many tickets are required, cost £55