form - BVZS

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British Veterinary Zoological Society Spring Meeting 2015
6th November: visit to Bristol Zoo
7th-8th November: Bristol Zoo Education Centre
Bristol Zoo Gardens, Clifton, Bristol, BS8 3HA
Please complete this form and send it with a cheque (made payable to BVZS) or debit/credit card details (see below) for the appropriate amount.
Confirmation of registration will be sent by email. Rebates will only be given in urgent and exceptional circumstances. Please post or email this
form and remittance to: Victoria Roberts BVSc MRCVS, BVZS Administrator, Heather Bank, Hillings Lane, Menston, Ilkley, West Yorkshire LS29
6AU, email: admin@bvzs.org, mobile 07971 482292.
REGISTRATION FORM: VETERINARY STUDENTS
First name, last name and
qualifications (please print)
Address
Postcode
Fax no.
Telephone no.
Email address
Date
Tick
(X )
MEETING REGISTRATION
REGISTRATION FEES
Amount
One day attendance
BVZS member
£70 SAT/SUN (please delete)
Non-BVZS member (membership registration possible @ www.bvzs.org)
Poster presentation - BVZS member
Poster presentation - non-BVZS member
Speaker
BVZS Student Rep
Sponsored student place (pre-allocated)
Student stewardship - expression of interest (refund of relevant
£ 140
£ 80
£125
£0 SAT/SUN (please delete)
£0
£0
£0
Two day
attendance
£ 100
£ 70
registration fee after selection only)
Accompanying person(s) - coffee/tea & lunch on both days
SOCIAL REGISTRATION
Friday visit to Bristol Zoo
Saturday evening dinner at El Puerto. There are only 100 spaces for dinner. These
Numbers:
£ 100 each
Number:
Number:
£0
£0
will be allocated on a first come served basis so sign up quickly! Dinner will be FREE to
attendees who are paying for meeting registration and it is assumed you wish to have
dinner. There is no reduction in the fee if not but please email admin@bvzs.org so we
keep accurate numbers. However if your meeting registration was free (e.g. student
rep) there is a charge of £39.
£39 (if free
meeting
registration
)
Voluntary donation to the ZEBRA Foundation
£
ROUND TABLE DISCUSSION SESSIONS: TOPIC “PHARMACOLOGY”
Please number from 1 (most preferred) to 5 (least preferred). Places will be allocated on a first come first served basis
Avian
Reptile
Small mammals
Zoo animals
Wildlife
PARALLEL SESSION
Please tick the box below if you wish to attend. Places are limited and will be allocated on a first come first served basis
Lecture: Back to basics surgery of exotic pets
Total enclosed
£
Dietary and Other Needs
Vegetarian:
Vegan:
Other dietary:
Numbers:
Special needs:
If you do NOT want your details put on a delegate list for sponsors, please tick here (
)
Mailing list
PAYMENT details – CAPITALS please
Card type (delete)
VISA
Cardholder’s name
Address
Card number
Issue no. (if applicable)
Please note we cannot accept American Express or Electron/Solo cards
SWITCH
MAESTRO
MASTERCARD
Start date (if applicable)
/
Postal code
Security code*
Expiry date:
*Last 3 digits of number on signature strip on reverse of card
Please consider different transport options and lift sharing to reduce the environmental impact of your journey
Please note that online registration is now available.
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