Docstoc

2012 reg form PHM final verson

Document Sample
2012 reg form PHM final verson Powered By Docstoc
					Northern Ireland Branch                                                     Division of
                                                                       Health Psychology


                 PSYCHOLOGY,
               HEALTH & MEDICINE
                 TH
             9         ANNUAL ONE DAY
                       CONFERENCE
 Hosted by the Divisions of Health Psychology of The British Psychological Society,
         Northern Ireland Branch and The Psychological Society of Ireland




                        Queen’s University Belfast
                        Wednesday 4th April 2012


                         KEYNOTE SPEAKERS
 Professor David Marks, Editor – The Journal of Health Psychology

           Professor Ronan O’Carroll, University of Stirling

  Dr AnnMarie Groarke, The National University of Ireland, Galway

           To submit an abstract download form from www.nibps.org.uk and email to
                   phmconference2012@gmail.com by 11 February 2012
Northern Ireland Branch                                                           Division of
                                                                             Health Psychology

                                   PSYCHOLOGY, HEALTH & MEDICINE
                                        Wednesday 4th April 2012
                                        Queen’s University Belfast

                                                 REGISTRATION FORM
                                                  (BLOCK CAPITALS PLEASE)
SURNAME

FIRST NAME                                                 TITLE

ADDRESS


TEL NUMBER                                                 E-MAIL ADDRESS

PLEASE SELECT APPROPRIATE FEE BELOW
                                                         Before 11th March   After 11th March
                                                                2012               2012
BPS/PSI DHP Members
(including PSI Special Interest Group)                 £90/€100                £120/€140
Non Members
                                                       £120/€140               £140/€160
Unwaged/students
(Evidence should be provided with registration         £35/€40                 £45/€50
application).



                                                       PAYMENT

Cheques should be made payable to “NIBPS Conferences” and attached to the Registration
Form.

Delegates may also pay by bank transfer to:

First Trust Bank, University Road, Belfast.
Account Name: NIBPS Conferences
Sort Code: 938609
Account Number: 92499184

(IBAN: GB31 FTBK 9386 0992 4991 84; BIC: FTBKGB2B for payment from outside UK)


PLEASE RETURN YOUR REGISTRATION FORM TO

Anne Kerr, NI Regional Office, The British Psychological Society, School of Psychology,
Queen’s University Belfast, 18-30 Malone Road, Belfast BT9 5BP
(if paying by bank transfer email your registration form to n.ireland@bps.org.uk)

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:10/16/2012
language:Unknown
pages:2