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Registration and payment form

Registration for the clinical meeting is only open to medical professionals. Identification will be required at the meeting. Partners and family are very welcome to the dinner and social programme.

Information with details of accommodation, parking, costs and the programme is all on our website: http://www.uhbristol.nhs.uk/swewds

To become a member of the Dowling Club please following this link.
To register for the meeting complete the details below

If you have already registered please just fill in the first 6 questions for the meal options. If this is the first time you have filled this in, please complete the full registration. If you have already registered, but would like to amend the details, please fill in the full form.

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* 1. your name

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* 2. e-mail

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* 3. How many reservations would you like for dinner at the Harbour Hotel on the Friday night?

  registered clinician(s) accompanying person(s)
none
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2
3

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* 4. please fill in below concerning dietary requirements

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* 5. Payment is for the meal only (no charge for other elements of weekend) and is by bank transfer or cheque (transfer preferred).
£40 per person for consultants, associate specialists, GPSIs and per their guest
£20 per person for trainees, nurses and per their guest

Please indicate which method you will be using for payment. 

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* 6. daytime telephone number

Thankyou - If this is the first time you have registered,  please continue with the next page.

Otherwise, we look forward to seeing you at the meeting.  Don't forget to look at our website for the meeting details which will be kept updated.

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