Name*

Mobile Contact Number*

Please select your requirements*
Accommodation on Sunday 8thConference Pass on Monday 9thAttendance at the Gala Dinner on Monday 9thAccommodation on Monday 9thConference Pass on Tuesday 10th

Do you have any dietary requirements?

How will you be travelling to the conference?

Estimated time of arrival at the hotel?

Finally, please could you provide a brief profile / bio on yourself. (Max. 100 words)

You may also attach a picture of yourself for use on the programme:

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