Autumn Virtual Conference

Registration Form

Friday 6th November 2020 from 10am to 3:20pm
Registration from 9:50am.

* Online registration closes Tuesday 3^rd November 2020 at midnight
* Please note, student non-members places at our conference are capped and we have reached our limit

First Name *

Last Name *

Organization

Email *

Current Grade *

Speciality

Membership Status *

Please specify any access requirements

Your Local Group *

Payment Information

Price

Payment Method *

Online - via our payment processor, Worldpay

Offline - (Payment options will be emailed to you)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Autumn Virtual Conference

Registration Form

Payment Information

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