The Royal College of Psychiatrists in Scotland Addictions Faculty Annual Residential Meeting 26 and 27 February 2015 Hilton Dunkeld House Hotel How to book Please complete the booking form (attached to this sheet) and return it with your payment to: RCPsych in Scotland, 12 Queen Street, Edinburgh, EH2 1JE Alternatively you can email your form to rmiddlemiss@rcpsych.ac.uk Places will be confirmed on receipt of payment so we advise you to pay upfront and claim back from your employer. IF YOU DO NOT RECEIVE CONFIRMATION FROM THE COLLEGE THEN YOU DO NOT HAVE A PLACE! Places are allocated on a first-come basis and please note that the College cannot issue invoices. If you have not heard from us and you are concerned about your place then please call. If you have any queries please contact Rebecca Middlemiss at the Scottish office at rmiddlemiss@rcpsych.ac.uk or Telephone 0131 220 2910. Payment Payment is by cheque or credit card but please note cheques will be held until much nearer the meeting. Please make cheques payable to: The Royal College of Psychiatrists. Please book by Monday 23 February 2015 at the latest Registration fee Residential Delegate Rate Day Delegate Rate Early Bird Trainee Rate* Medical Student* £230.00 £100.00 £50.00 FREE *There are three subsidised day delegate places for trainees and two free day delegate places available for medical students. These places will be offered on a first come firs serve basis. Cancellations/substitutions: - 80% refund if written cancellation is received at least 4 weeks prior to the event - 50% refund if written cancellation is received 2 weeks prior to the event - No refund will be given to cancellations received within 2 weeks of the event. Should you be unable to attend a substitute delegate may attend in your place. Hotel Details Hilton Dunkeld House Hotel, Perthshire, PH8 0HX Phone: +44 1350 727 771 Website:www.hiltondunkeld.co.uk Email: reservations.dunkeld@hilton.com Please turn over A copy of this booking form can be downloaded at http://www.rcpsych.ac.uk/members/divisions/rcpsychinscotland/meetingsandevents.aspx Return to: Rebecca Middlemiss, RCPsych in Scotland, 12 Queen Street, Edinburgh, EH2 1JE REGISTRATION FORM Royal College of Psychiatrists in Scotland Addictions Faculty Annual Meeting 2015, Hilton Dunkeld House Hotel Your Details: (please complete a separate form per delegate) Full Name (& Title): College Number: Work Location: Address: (print clearly where you wish the confirmation details to be sent): Email: Contact Telephone Number: Please specify any dietary requirements: How would you like your name presented on the delegate badge? (capitals please) PAYMENT: Payment is by cheque or credit card but please note cheques will be held until much nearer the meeting in order to guarantee your place. Please make cheques payable to: The Royal College of Psychiatrists. Please indicate which rate you require: Full Residential Delegate Rate £230.00 Day Delegate Rate £100.00 Trainee Rate £50.00 Medical Student FREE Data Protection Your name, workplace (if applicable) and town or city may appear on your delegate badge and on the event delegate list, which will be accessible to your fellow delegates and to presenters at this event. You have the right to request that the information you provide does not appear in full on your badge or at all on the delegate list. If you wish to exercise this right please contact the relevant administrator at least 7 days before the event, specifying the event in question and the data you wish to withhold. You can find further details about the College’s data protection Policy on the link provided below. DATA PROTECTION STATEMENT The College’s Data Protection Statement can be viewed at http://www.rcpsych.ac.uk/smallprint dataprotection.aspx A copy of this booking form can be downloaded at http://www.rcpsych.ac.uk/members/divisions/rcpsychinscotland/meetingsandevents.aspx Return to: Rebecca Middlemiss, RCPsych in Scotland, 12 Queen Street, Edinburgh, EH2 1JE A copy of this booking form can be downloaded at http://www.rcpsych.ac.uk/members/divisions/rcpsychinscotland/meetingsandevents.aspx Return to: Rebecca Middlemiss, RCPsych in Scotland, 12 Queen Street, Edinburgh, EH2 1JE Credit Card Booking Form Card Type (Visa, Mastercard, Delta etc) Card Number Security Number (last 3 digits on reverse of card) Expiry Date Start Date / Issue Number Name on Card Address card is registered to Please complete this form in BLOCK CAPITALS SIGNATURE …………………………………………………………………… DATE ………………………. A copy of this booking form can be downloaded at http://www.rcpsych.ac.uk/members/divisions/rcpsychinscotland/meetingsandevents.aspx Return to: Rebecca Middlemiss, RCPsych in Scotland, 12 Queen Street, Edinburgh, EH2 1JE