UKESAD: Exhibitor Registration

9th UK/EUROPEAN SYMPOSIUM ON ADDICTIVE DISORDERS
Central London
10, 11, 12 May 2012.
To register, please fill out the online form below.

On receipt of your booking form (below, or printout by post) we will email you an invoice specific to your requirements with details of how to pay either by cheque or our online payment system.

Download UKESAD 2012 exhibitor floorplan

Contact Details

First Name *

Last Name *

Title (e.g Mr, Ms, Mrs etc) *

Job Title *

Telephone (including code) *

Email (booking confirmation will be sent here) *

Contact Address

Organisation *

Address Line 1 *

Address line 2

Town/City *

County/State *

Postal Code *

Country *

Requirements

NB. 20% discount if paid by 21 January 2012.

Preferred table no.

Please download the pdf floorplan to choose your location

Number of Delegates/Representatives *

£325 per delegate/ representative of exhibitor’s organisation -

£275 if paid by 21 January 2012.

Payment Details

Purchase order no. (if applicable)

Invoice Address (If different from above)

Address Line 1

Address line 2

Town/City

County/State

Postal Code

Country

Additional Comments

The organisers can not be held responsible for any loss, injury or damage that may occur to an exhibitor, his/her representative or equipment prior to, during or subsequent to the Symposium.

Click to indicate agreement * I Agree

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