BOOKING FORM
You are requested to complete this form and submit to register your interest to attend the The 18th Annual Scientific Meeting on Masterclass In ADHD in Children on Thursday 26th September 2024 and National ADHD Study Day on Friday 27th September 2024 at Galleon Hall C, The Royal National Hotel, 38-51 BEDFORD WAY LONDON WC1H 0DG.
Sign in to Google to save your progress. Learn more
Title *
Forename *
Surname *
Full Address *
Post Code *
Telephone Number *
Your e-mail address? *
Place of Work *
Job Title *
Dietary/Special requirements: 
Please indicate if you have any special needs: 

Please advise which session(s) you wish to attend?

*
You can expect to claim 8 CPD point for attendance of each day.(applied for)

Please note your details will be shared with our sponsors, please indicate below the information you
are happy to share:

*
You can select more than one or all of them
Required
Registration fee
Please select one as applicable *
The following rates are applicable from 1st May to 30 June 2024:
Please select one as applicable *
The following STANDARD RATES are applicable from 1st July 2024:
What is your Total Booking fee? *
Payment
Please make a payment first and select one of the appropriate options from the list.

For Bank Payment: Our Bank Detail is:
Bank name: Lloyds.
Account Name: George Still Forum Conference.
Sort Code: 30-96-93
Account Number: 01390294.
Please give your name in the reference. If you are using bank transfer facility then let us know by email.

For Cheque payment:  Please send a cheque made payable to ‘George Still Forum Conference’ to
 c/o Mrs Lynda Turtill, 16 Loyd Street, Anlaby, Hull, HU10 6UG

How did you pay your Registration Fee?  Select one from the following two:
Clear selection
Payment completed? *
For Cheque Payment only

Please send your cheque payable to George Still Forum Conferences payments to:

Lynda Turtill, 16 Loyd Street, Anlaby, Hull, HU10 6UG

E-Mail:  gsfcoordinator@gmail.com, Telephone: 01482 650125

CANCELLATION
Substitution of delegates may be made at any time, without cost, by informing the organisers. Booking fee will be refunded if unable to attend with at least four week notice.
Any other information or remarks
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy