Name*

Mobile Contact Number*

Please select your requirements*
Accommodation on Monday 26thConference Pass on Tuesday 27thAttendance at the Gala Dinner on Tuesday 27thAccommodation on Tuesday 27thConference Pass on Wednesday 28th

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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