ACCOMMODATION BOOKING FORM    
     
PERSONAL DETAILS    
Title*    
First Name*    
Family Name*    
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

 
ACCOMMODATION  
   
Please indicate below which hotel you would like to book:  
Hotel
Date
Cost
Please Select
Holiday Inn
Crowne Plaza Wed 2nd Oct SGL
02/10/2019
91.00
Crowne Plaza Thur 3rd Oct SGL
03/10/2019
91.00
Crowne Plaza Fri 4th Oct SGL
04/10/2019
91.00
Crowne Plaza Wed 2nd Oct DBL
02/10/2019
100.00
Crowne Plaza Thur 3rd Oct DBL
03/10/2019
100.00
Crowne Plaza Fri 4th Oct DBL
04/10/2019
100.00
Crowne Plaza Wed 2nd Oct TWIN
02/10/2019
100.00
Crowne Plaza Thur 3rd Oct TWIN
03/10/2019
100.00
Crowne Plaza Fri 4th Oct TWIN
04/10/2019
100.00
Majestic Wed 2nd Oct SGL
02/10/2019
100.00
Majestic Thur 3rd Oct SGL
03/10/2019
100.00
Majestic Fri 4th Oct SGL
04/10/2019
100.00
Majestic Wed 2nd Oct DBL
02/10/2019
108.00
Majestic Thur 3rd Oct DBL
03/10/2019
108.00
Majestic Fri 4th Oct DBL
04/10/2019
108.00
Majestic Wed 2nd Oct TWIN
02/10/2019
108.00
Majestic Thur 3rd Oct TWIN
03/10/2019
108.00
Majestic Fri 4th Oct TWIN
04/10/2019
108.00
 
Please note all hotel bookings are non refundable and subject to 100% cancellation fees unless rooms can be resold,  
Accommodation for this meeting is a supply under TOMS and therefore VAT is not applied.  
   
Group booking: for multiple or group bookings, please contact the Conference Secretariat
e: bsaci@medivents.co.uk t: 44 (0)1462 530 076