CoR Annual Radiotherapy Conference Friday 31 January – Sunday 2 February 2014 • Thistle Bristol City Centre, The Grand
Are you an SoR member? Yes No SoR Membership No ............................................................................................................................................ (Discounted members’ prices not valid without membership number)
Title (Miss/Ms/Mrs/Mr)
........................................................................First Name ............................................................................................................................... Surname ....................................................................................................................................................................................................................................................... Correspondence address ......................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................
Postcode Email ...................................................................................................................................................................................... Telephone (home)
.................................................................................Telephone (work) ................................................................................................................... How would you prefer to receive course information? Email Post Job title ......................................................................................................................................................................................................................................................... Place of work .............................................................................................................................................................................................................................................. Please tick if you do not want your name, job title and place of work published on the delegate list. Any special dietary requirements .......................................................................................................................................................................................................... Are there any other facilities you require in order to participate fully in the conference? .....................................................................................................
....................................................................................................................................................................................................................................................................... FEES & PAYMENT Late booking after 30 November 2013
Full conference package (3 days) * Friday day registration Saturday day registration Sunday day registration
Gala dinner Saturday evening (this is included if you purchase full conference package) Gala dinner Saturday evening (for partner/guest)
SoR members £554.40 £198 £198
£85.80 £52.80 £52.80
Complimentary guest/partner (sharing accommodation only, NO ATTENDANCE TO CONFERENCE) Please indicate at the time of booking if you require an additional ticket for Saturday night’s gala dinner.
Non-members Student members £792 £264 £264
£125.40 £52.80 £52.80
£343.20 £79.20 £79.20 £52.80 £52.80 £52.80
Delegates booking the full 3-day package are welcome to share their room with an accompanying partner (not attending the conference) for an additional £10 per night, payable at the hotel reception on arrival or departure.
If you wish to book accommodation on the Thursday night, we have an allocation of bedrooms at £85 B&B (£95 for dual occupancy). To book, please contact the hotel direct on 0871 376 9042 (select option 1) quoting reference ‘RADI300114’.
* Full conference package includes attendance at conference sessions and exhibition for 3 days, 2 nights’ accommodation (Friday and Saturday), breakfast on Saturday and Sunday, lunch on Friday and Saturday, drinks reception on Friday evening, gala dinner on Saturday
I enclose a cheque for £……………. made payable to The College of Radiographers Please tick here if you require a receipt for your payment. OR Please invoice my employer. If you wish to receive an invoice, please complete the contact details of your finance department below and attach their official purchase order.
FORMS RECEIVED WITHOUT A PURCHASE ORDER WILL NOT BE PROCESSED (this is not required if sending a cheque at time of booking).
Organisation ................................................................................................................................................................................................................................................ Contact name ............................................................................................................................................................................................................................................. Correspondence Address ........................................................................................................................................................................................................................ .......................................................................................................................................................................................................................................................................
Postcode Telephone .................................................................................................................................................................................................................................................... I confirm that I wish to book a place at this event and have read and agree to be bound by the booking terms and conditions. Signature .................................................................................................. Date ........................................................................................................................................... Please indicate how you heard about this event: Email Synergy News SoR website TopTalk Colleague Other ......................................................................................................................................................................................................................................................
Your details will be held on our database to enable us to process your registration and so that you can be kept up to date with relevant details of future confer- ences and events. If you do not wish to receive such information please contact us. The College of Radiographers does not release members’ or registrants’ information to external organisations for marketing purposes.
Forms should be sent to: Conference Team, The College of Radiographers, 207 Providence Square, Mill Street, London SE1 2EW or Fax: 020 7740 7248 If you have any queries please call 020 7740 7252 or email
conferences@sor.org
FOR OFFICE USE ONLY
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