Option Required* Please select...1) Attend the full professional symposium2) Tuesday 6th Only from 1.30pm3) Wednesday 7th Only4) Thursday 8th Only5) Friday 9th Only
If you have selected option 1, please complete the details in the box below:
Option 1 info
Your Profession* Please select...Neurologists/Medical Doctors/Researchers/Scientists (please specify)Registered Dietitians/Nutritionists/Nurse Specialists & other allied health professionals (please specify)Medical Students
Profession (if other)*
I wish to attend the complimentary Tuesday evening Welcome Reception
I wish to attend the complimentary Wednesday evening sponsored symposium & drinks reception
Title*
First Name* (required)
Surname*
Job Title / Position*
Hospital / Centre*
Address
County
Zip / Postcode
Country
Business Phone
Email
* Fields marked with an asterisk will appear on your delegate badge.
Kindly specify any special dietary requirements:
ADDITIONAL OPTIONS
I wish to attend the complimentary Tuesday evening Welcome Reception (Health Care Professionals £150)
7th Global Symposium Gala Dinner Thursday 8th October 7pm (£95 per ticket) ---1 ticket2 tickets3 tickets4 tickets5 tickets6 tickets7 tickets8 tickets9 tickets10 tickets
Please indicate your method of payment: Cheque / Credit card / BACS / Invoice Please select...ChequeCredit Card via PaypalBank TransferInvoice (please fill in the details below)