ISSSMC 2010 DELEGATE BOOKING FORM Please complete the booking form and sign up sheets below and return these together with your conference fee. Cheques made payable to ISSSMC. ISSSMC, 3 The Oaks, Causey Hill, Hexham, Northumberland, NE46 2PZ T +44 (0)1434 605 324 // E. firstname.lastname@example.org // www.isssmc.com Surname: First Name: Title: Name For Delegate Badge: Email Address: Contact Address: Town: County: Postcode: Country: Telephone (daytime): Mobile: DELEGATE FEES Please note: Registrations only accepted and confirmed on receipt of payment. To qualify for ‘Reduced Fee’s’ your payment must reach us by the agreed deadlines as set below. Please tick the appropriate box; and return your completed form with conference fee. REDUCED FEES FOR EARLY REGISTRATION (inc. VAT) Deadline 30 April 2010 30 June 2010 After 30 June 2010 Please Tick Whole Conference (3 Days) £293.75 £352.50 £411.25 Day 1 + Day 2 (Thursday & Friday) £235.00 £293.75 £352.50 Day 1 or Day 2 £176.25 £205.63 £264.38 Day 3 (Saturday) £117.50 £146.88 £176.25 Deadline Student* 30 April 2010 30 June 2010 After 30 June 2010 Please Tick Whole Conference (3 Days) £235.00 £264.38 £293.75 Day 1 + Day 2 (Thursday & Friday) £176.25 £206.63 £235.00 Day 1 or Day 2 £146.88 £176.25 £205.63 Day 3 (Saturday) £117.50 £146.88 £176.25 Registration package includes attendance at sessions, conference proceedings, lunch, tea & coffee. * Number of student places are limited and will be confirmed on receipt of booking form, evidence of current student status (student number or letter from your academic institution) and relevant monies. I enclose a cheque/banker’s draft/BACS Remittance Advice for the full amount of £ Please return completed and signed form with the correct remittance to: ISSSMC, C/O Roberts & Partners, 3 The Oaks, Causey Hill, Hexham, Northumberland NE46 2PZ (UK). Tel: +44 (0)1434 605 324. BACC’s details as follows; HSBC, Fore Street, Hexham, Northumberland, NE46 1LY | Acc no. 71493841 | Sort code. 40 24 16 Gender: Female Male Dietary Needs: Vegetarian Vegan Nut Allergy Other (Please Specify) How did you hear about this conference? ISSSMC 2010 SIGN UP SHEET Apart from the plenary sessions, conference delegate will attend either the sports medicine or sports science strands on Day 1 and 2 of the conference. On Day 3 all delegates will attend the same sessions. Please confirm below which of the two strands you will be attending on Day 1 and Day 2: Day 1 Morning Session Sports Medicine Sports Science Day 1 Afternoon Session Sports Medicine Sports Science Day 2 Morning Session Sports Medicine Sports Science Day 2 Afternoon Session Sports Medicine Sports Science Please make a copy of your choices so that you know which sessions you will be attending.