SCOTTISH SOCIETY FOR RHEUMATOLOGY - REGISTRATION FORM

							                  SCOTTISH SOCIETY FOR RHEUMATOLOGY – REGISTRATION FORM
                            Spring Meeting – Thursday 19th & Friday 20th April 2012
           Royal College of Physicians & Surgeons of Glasgow, 232-242 St Vincent Street, Glasgow

                            Deadline for receipt of registrations: Friday 6th April 2012

NAME: Professor / Dr / Mr / Mrs / Ms (delete as appropriate)……………………………………………………………………………….

ADDRESS (including post code)…………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………

EMAIL: ……………………………………………. TEL:………………………………………..                                            MOBILE:…………………………………….

ACCOMMODATION: There is a wide range of accommodation available within the vicinity of the RCPSG owing to its location within
the city centre.

ABSTRACT SUBMISSIONS: The abstract submission form is available on the SSR website www.scottishrheumatology.org.uk
                                                                                           th
Please send to david.mccarey@ggc.scot.nhs.uk or sarah.saunders@ggc.scot.nhs.uk by Friday 16 March 2012.

PROGRAMME: Available at www.scottishrheumatology.org.uk


                 th
THURSDAY 19 APRIL 2012 PRE-CONFERENCE SYMPOSIUM
Evening symposium sponsored by UCB Pharma.                                    Registration and light refreshments from 6pm
Royal College of Physicians & Surgeons of Glasgow                             Starts at 6.30pm

                                                                                                ( )      COST
I wish to attend the evening symposium                                                                    No registration fee.
I will not be attending the evening symposium
                 th
THURDSAY 19 APRIL 2012 – SSR SPRING MEETING DINNER
Royal College of Physicians & Surgeons of Glasgow at 8pm
Cost includes 3 course dinner, wine, soft drinks and tea/coffee

I wish to attend the SSR Dinner                                                                           £ 37.50
I wish to bring a guest / guests                                                              No:         £ 37.50
Please state any dietary requirements:

            th
FRIDAY 20 APRIL 2012 - SCOTTISH SOCIETY for RHEUMATOLOGY SPRING MEETING
Royal College of Physicians & Surgeons of Glasgow
Registration/coffee from 9.30am, meeting starts 10am

                                                                                                      ( )      REGISTRATION FEE
                                              th
I wish to attend the meeting on Friday 20 April
I am a member of the SSR                                                                                        £10
I am not a member of the SSR                                                                                    £20
I will require lunch                                                                                            Included in fee
Please state any dietary requirements:
PLEASE NOTE:
          It will be possible to join the Society on the day, entitling any new member to the lower rate but only for any future
           meetings attended
          Only cash or cheques will be accepted for registration on the day.
      
                                                                                   th
           No refund is possible for cancellations received on or after Friday 13 April
                                                           th
TOTAL PAYMENT – deadline for receipt: Friday 6 April

Please return this form and your payment - made payable to “SSR Spring 2012 Meeting” to:
Paula Millen, ECMS Secretaries, Ground Floor, Centre Block, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF
Telephone: 0141 211 4965 E-mail: paula.millen@ggc.scot.nhs.uk