home up a level contact us site search site map

Please note that the Conference is only open to SHASTD members

Name:

Clinic Name and Address:

Telephone:

Membership Number:

Do you require an invoice?

Yes    No

Name and address for invoice if different from above:

Are you vegetarian?

yes    no

Do you have any specific dietary needs? 

 yes    no

If yes, what are they?

Do you require disabled access?

yes    no

Do you require a signer?

yes    no

Do you require creche facilities?

yes    no

(These are available 9.30-5.30. Other times by negotiation)

If yes, how many children? 

Are you willing to share a room?

yes    no

If yes, name of sharer 

Will you be staying for lunch on Friday, 20th April?

yes    no

Your comments or question:

Your e-mail address

 

home up a level contact us site search site map

           postal address:MSF Centre, 33-37 Moreland Street, London, EC1V 8BB.                      

  electronic mail: janef@shastd.org.uk
Copyright of text and images contained on this site is held by SHASTD, unless otherwise indicated. We request you do not use material without prior consent. The user assumes the entire risk as to the accuracy and use of the information. This includes advice given by email. Full disclaimer