1st Liverpool MS Study Weekend
15-16 March 2014
Liverpool, UK
Personal Details    
Title* Email Address*
First Name* Job Title*
Family Name* Department*
Mailing Address   Badge Information  
Address 1* Hospital*
Address 2* Hospital Town*
Address 3    
Postcode/Zip*    
Home Country*
Telephone Number*
Fax Number
Mobile Number
Special Requirements
Disabled Access Vegetarian
Food Allergy
Other Special / Dietary
Requirements
Event Requirements

Sponsorship covers attendance at the training weekend from Saturday morning until Sunday afternoon,
including meals and Overnight accommodation (Saturday) at the conference venue.

Friday Night Accommdation (18th November)
If you wish to book accommodation the night before the meeting starts, there are two options available. Friday accommodation is at extra cost as outlined below.
Accommodation on the 18th November is not included in your conference fee.
4* Chesford Grange (conference venue): £95 inc vat B&B  
3* Ramada Warwick (next door to conference venue): £69 inc vat B&B  
Payment  
I understand that a non-refundable fee of £95, together with any
Friday night accommodation costs selected above, will be charged