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  
Arrival Date  
 
Departure Date  
 
   
Please indicate below which hotel you would like to book:  
The Telford Holiday Inn Single Room - £99.00* per night B&B  
The Telford Holiday Inn Double/Twin Room - £109.00* per night B&B  
     
The International Hotel Single Room - £89.00* per night B&B  
The International Hotel Double/Twin Room - £99.00* per night B&B  

Do you require a Twin or Double Room

 
   
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 Meeting Secretariat
e: bsaci@medivents.co.uk t: 44 (0)1462 476315