Booking Form - RuralGP.com

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RURAL GP ASSOCIATION OF SCOTLAND
ANNUAL CONFERENCE
Thursday 5th to Saturday 7th
NOVEMBER 2015
CRAIGMONIE HOTEL, 9 Annfield Rd, Inverness IV2 3HX
BOOKING FORM
Please download, complete and e-mail back or print, complete and send in the post.
NAME……………………………………………………
ADDRESS………………………………………………………
…………………………………………………………………
…………………………………………………………………
TEL: ……………………………………………………………
EMAIL…………………………………………………………
PLEASE TICK SESSIONS TO BE ATTENDED:
THURSDAY 6th
(MORNING)
YES/NO
THURSDAY 6th
(AFTERNOON)
YES/NO
(MORNING)
YES/NO
FRIDAY 7th
FRIDAY 7th
SATURDAY 8th
RGPAS
AGM
PRACTICAL (GPs ONLY)
LUNCH
OR
(AFTERNOON)
YES/NO
(MORNING)
YES/NO
DINNER REQUIRED?
Thursday 5th
YES/NO
YES/NO
(CURRY OUT)
Friday 6th
YES/NO
YES/NO
(CONFERENCE DINNER)
Saturday 9
YES/NO
ANY SPECIAL DIETARY REQUIREMENTS?
YES/NO
Please Specify!
Delegates should book their accommodation directly with the Hotel on 01463 231649,
mentioning RGPAS Conference.
PAYMENT DETAILS
Total course fee: £120.00
Sessions: £50.00 per day or part of day
**Students: Please see www.RuralGP.com for details of scholarships available
for students attending Scottish universities. If you are not successful in
obtaining a scholarship, the rate is £25 for the whole conference.**
FYs, Trainees & Rural Fellows: £25 reduced rate also applies
Lunch and coffee/teas included
Payment by cheque to: RGPAS
Send to Dr Stuart Cairns, Port Appin Surgery, Port Appin, Argyll PA38 4DE
Payment by electronic transfer:
Remote Practitioners Association of Scotland
Bank of Scotland, Main Road, Aviemore PH22 1RH
Sort code 80-05-40
Account NO: 00478901
Stuart Cairns
01631 730271
Stuart.cairns1@nhs.net
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