Registration


Skin@Bath Network Symposium

12th – 13th December 2019     Bath, UK

                                                                          Registration form

To reserve a place for you (and an accompanying person) for the Skin@Bath Network Symposium, please complete the below registration form and return to BIRD@birdbath.org.uk to reserve your place.

Registration, dinner and/or hotel fees are to be made payable to BIRD to confirm your place, BACS details below.

Your details  
Title   Mobile tel no  
Forename   Work/home tel no  
Surname   Address  
Role    
Department    
Organisation    
Email address   Postcode  
Dietary reqs   Mobility reqs  
Guest details  
Title   Dietary reqs  
Forename   Mobility reqs  
Surname      
Registration fees  
Please select:        
Non-Students/Medical Trainees     ☐  £105.00
Students/ Medical Trainees     ☐  £55.00
Accompanying Person     ☐  £38.00
Dinner Reception on 12th Dec     ☐  £25.00 pp
Total amount due  
£
BIRD BACS details  
Account name Bath Institute for Rheumatic Diseases Bank Unity Trust Bank
Account no 20363439 Sort code 60 83 01
IBAN number GB93 NWBK 6002 3571 4180 24 SWIFT number NWBK GB2L
Foreign Payments – When making foreign payments to BIRD via Unity Trust Bank, the service is provided via NatWest or Western Union. Unity Trust only require the sort code and account number to be quoted when sending your payment with the IBAN & SWIFT numbers given above. Our sort code and account number are not included in our IBAN & SWIFT numbers.      We cannot provide an alternative IBAN or SWIFT numbers – Further information here; https://www.unity.co.uk/banking-services/foreign-services/ ‘Receiving payments’ & ‘Important information about our Foreign services’. If you need any further information from us please don’t hesitate to get in touch.
Cancellation policy  
Cancellations received before 12 noon on Friday 10th November 2017 will receive a full refund. Cancellations received before 12 noon on Friday 24th November 2017 will receive a 50% refund. Cancellations received after this period will not be eligible for a refund.