BSGAR 2012 Online Booking Form

Please note: Online booking prices include a 3% surcharge.

Alternatively you can download and print the booking form and pay by cheque, BACS or debit/credit card.

Delegate Details

Full Name(s):
E-mail:
Address:
Postcode:
Telephone:
Fax:
Hospital Name:
Hospital Address:
Hospital Postcode:

Details For Badge

Name:
Institution:
Member	Consultant
Non-Member	Trainee

Registration Fees

Full two day conference Thursday/Friday (inc accommodation Wednesday & Thursday night, welcome reception and course dinner)	Book Before 9th January 2012	Book After 9th January 2012
BSGAR Member	£463.50	£489.25
Non-Member	£515.00	£540.75
Trainee	£396.55	£427.45

Full two day conference Thursday/Friday (inc accommodation Thursday night ONLY, welcome reception and course dinner)	Book Before 9th January 2012	Book After 9th January 2012
BSGAR Member	£350.20	£375.95
Non-Member	£401.70	£427.45

Full two day conference Thursday/Friday (inc welcome reception, course dinner - no accommodation)	Book Before 9th January 2012	Book After 9th January 2012
BSGAR Member	£180.25	£206.00
Non-Member	£231.75	£257.50

Partner Rate (inc welcome reception, course dinner - no accommodation)	Wednesday night	Thursday night
	£20.60	£20.60

Course Dinner	Day Delegate rate
BSGAR Member	£66.95
Non-Member	£66.95

Delegate Single Day Rate	Book Before 9th January 2012	Book After 9th January 2012
BSGAR Member	£92.70	£118.45
Non-Member	£118.45	£144.20
Trainee	£61.80	£61.80

Car Parking Per 24 hours
Wednesday night	£18.54
Thursday night	£18.54

For catering pre-planning, please confirm your attendance at the:
Welcome reception
Course dinner

Total: £

Your efficiently co-ordinated event starts here!

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