JTSMA Conference 2001

Healthcare Professionals booking form.
 
If you got here by mistake, CLICK HERE to get back to the conference Members' Reservation Form.



Professional contact

Your full name, please.

Your title (Mr, Mrs, Dr, Prof, &c).

Position or Job Title.

Your address and post-code.

Daytime phone number.

E-mail address.

Please indicate your professional interest in SMA.


DAY   COST TICK if
REQUIRED
FridayEvening MealUKP 18.00
SaturdayConference (inc. Coffee & Tea)UKP 25.00
LunchUKP 12.00
Evening MealUKP 20.00
SundayConference (including Coffee)UKP 12.50
LunchUKP 12.00

       

We will hold your booking for 14 days from receipt of this form, or until August 21st 2001 whichever is the earlier.

Your booking will be confirmed on receipt of payment sent by cheque payable to "JTSMA" to the address below, or by e-mailed credit card details.

Details of local accommodation can be obtained from : -
Stratford upon Avon Tourist Information Centre : +44 (0) 1789 293127 or 415061.



Address and Telephone Number for the Jennifer Trust

Tel: +44 (0) 1789 267520,     Fax: +44 (0) 1789 268371
E-mail: jennifer@jtsma.org.uk		 affix stamp
JTSMA
Elta House
Birmingham Road
STRATFORD upon AVON
Warwickshire,   CV37 0AQ
U.K.

© JTSMA, 2001