Varian User’s Group Meeting February 2012 www.nhslothian.scot.nhs.uk/VUG2012 12 noon 23rd Feb 2012 – 12 noon 24th Feb 2012 Title (Miss/Mrs/Ms/Mr/Dr)………………............First Name……………..............................…………….… Surname………………………………………………………………………........................................................….… Correspondence address…………………………………….................................................………………….... ………………………………………………………………………...........................................................………….…… …………………………………………………………………...........................................................……………….…… Email………………………………………………........................................................…………………………….….. Telephone (work)………………………...................................................……………………………………….…. Job Title………………………………….......................................................…………………………………….……. Place of Work……………………………………………………......................................................………………… Any special dietary requirements…………………………..............................................…………………….. Please select one of the below: Registration for conference only £50 Registration for conference and conference dinner £80 Please make cheques payable to ‘Varian Users Group 2012’ I confirm that I wish to book a place at the Varian User Group Meeting 2012 Signature…………………………………............................Date…………………..........................……………… I require a receipt to be sent I will collect my receipt at the meeting Please organise your own accommodation (Suggestions can be found through the VUG 2012 website) Forms should be sent to Linda Goodall / Joanna Kane Radiotherapy, Edinburgh Cancer Centre Western General Hospital, Crewe Road South Edinburgh EH4 2XU If you have any queries please email Linda.Goodall@luht.scot.nhs.uk Joanna.Kane@luht.scot.nhs.uk