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DELEGATE BOOKING FORM

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					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.	angela@roberts-partners.co.uk	//	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.

				
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