ACDRP Ticket Registration

This registration form is for BACS and Invoice tickets ONLY.
If you would like to pay by card, please visit
https://www.eventbrite.co.uk/e/association-of-child-death-review-professionals-annual-conference-tickets-1335182018359?

PLEASE NOTE: Completion of this form DOES NOT confirm your registration.
Confirmation of your ticket and place will be confirmed once payment has been received.

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* 1. Full name:

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* 2. Job Role:

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* 3. Organisation:

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* 4. Professional Email Address:

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* 5. Ticket Type:
I understand by choosing the option below I am committing to purchasing the ticket for the following amount:
One Day £185.00
Two Day £295.00

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* 6. Do you have any dietary requirements or allergies at all?
If yes, please state below

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* 7. Who should we contact for invoicing purposes?
This is the person(s) responsible for paying the invoice and/or providing the purchase order

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* 8. Any other comments or questions?
(If you have any queries, please feel free to email zureena.walters@nhs.net)

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