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 SURGEONS First name, last name and qualifications (please print) Address Postcode Fax no. Telephone no. Email address Date Tick REGISTRATION FEES (X ) MEETING REGISTRATION Early bird After 17/10/2015 Full/Associate BVZS member, all weekend £ 295 £ 405 Full/Associate BVZS member one day registration (state which day) £ 190 £ 240 Non BVZS member (membership registration possible @ www.bvzs.org) £ 555 £ 580 Non BVZS member one day registration (state which day) £ 320 £ 375 CONCESSIONS (The Early Bird deadline does not apply to concessionary rates) BVZS Honorary Member £0 BVZS member: retired £ 70 (1 day, state which) £ 100 (2 days) Speaker - presenting <30 minutes £100 (1 day, state which) £ 200 (2 days) Speaker - presenting twice or >=30 minutes £ 0 (1 day, state which) £ 100 (2 days) Accompanying person(s) - coffee/tea & lunch on both days Numbers: £ 100 each SOCIAL REGISTRATION Friday visit to Bristol Zoo Number: £0 Saturday evening dinner at El Puerto. There are only 100 spaces for dinner. Number: £ 0 (if paying for These will be allocated on a first come served basis so sign up quickly! Dinner will meeting) 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. speaker presenting twice) there is a charge of £39. Amount -- --- £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 PARALLEL SESSION: Lecture: Back to basics surgery of exotic pets (please tick/mark here if you wish to attend) £ Wildlife Total enclosed Dietary and Other Needs Mailing list £ Vegetarian: Vegan: Other dietary: Numbers: Special needs: If you do NOT want your details put on a delegate list for sponsors, please tick here ( ) 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.