QI 2011 Conference Registration Form

PLEASE NOTE: Each conference delegate should register separately

Personal Details

Title

First Name

Last Name

Job Title

Organisation

Address

Telephone

Email

Your paper title (if applicable)

Special Dietary/Other Requirements

Tutorials on 26 June - price included in conference fee

Yes   No

A half-day Tour (Castle/Distillery) on 29 June - price included in conference fee

Yes   No

Accompanying person

If you have someone accompanying you to Aberdeen, but not attending the conference, they can come to the welcome reception, banquet and half day tour for £100.

Name of Accompanying person (if applicable)

Payment

Conference rates include all sessions, tutorials, lunches, refreshments, banquet and an optional half-day tour (Castle/Distillery).

Please note that each conference delegate should register and pay separately.

Once you have submitted this form, you can pay your fee and accompanying person fee (if applicable) online on the next screen.