British Breast Cancer Research Conference

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1st British Breast Cancer Research Conference
15 – 17 September 2010
Registration form

DELEGATE (these details will be used for name badges and on the list of participants)
Title
Firstname *
Surname *
Professional position held
Organisation
Speciality
ADDRESS (for correspondence)
Address *
Postcode *
Country *
Tel *
Fax
E-mail *

CONFERENCE REGISTRATION DETAILS & PREFERENCES
Accomodation	I wish to reserve University en-suite accommodation at �52.00 per night (bed and breakfast) Please indicate which nights you wish to book: Wednesday 15 September Thursday 16 September

Evening meals	The buffet evening meal on Wednesday and the Conference dinner on Thursday are not included in the registration fee. . Please state any special dietary requirements for any of these meals:

Registration	(Includes coffees, lunches, teas) Professors, Consultants �325.00 Nurses, Radiographers, Medical trainees �275.00 Basic scientists �225.00 Wednesday evening meal �30.00 Conference dinner (Thursday) �35.00

After receipt of this registration form, we will contact you in due course to arrange payment.

Please make cheques payable to: (if you require bank details please let us know and we will fax these to you) "Breast Cancer Conference Account 2010"

PLEASE NOTE: No refunds can be made for cancellations after 15 August 2010 but name changes will be accepted

Delegates wishing to book hotel accommodation should contact the East Midlands Conference Centre Hotel Reservations Service on Tel: 0115 9513640 or email: hrs@nottingham.ac.uk No charge is made for this service.