Registration Form

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To register for the conference please complete and submit this form. We can only contact you by email so please ensure that your email address is correct.

First name * (required)

Last Name * (required)

email address * (required)

Your Institution

Your current status

Dietary requirements

Other requirements (e.g. mobility)

I wish to attend the conference on * (required)

I wish to apply for one of the accommodation & dining bursaries

I wish to apply for one of the accommodation & dining bursaries

I wish to attend the conference dinner on Saturday (Please bring a cheque to the conference)

I wish to attend the conference dinner on Saturday (Please bring a cheque to the conference)

* indicates a required field

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