TVS 2016 - The Conference 20th, 21st April 2016 – Cardiff City Hall Delegate Booking Form – TVS 2016 - The Conference Please book the following delegate/s Name Job Title Organisation Phone Number Email Address Address Type of Registration (see below) Name Job Title Organisation Phone Number Email Address Address Type of Registration (see below) Signature Tick here if you are happy for us to pass your email address to companies and organisations exhibiting at TVS 2016 – The Conference Prices Full Conference One Day (Please specify 1st or 2nd ) Member £324 including VAT £216 including VAT Non-Member £360 including VAT £240 including VAT Student £90 including VAT £60 including VAT Exhibitor incl. Dinner £132 including VAT £88 including VAT Exhibitor excl. Dinner £90 including VAT £60 including VAT Dinner only £60 including VAT N/A Please send your completed form to Dawn Rush @ PINK E: tvs@pinkatpink.com A: Cherry Hill, South End, Roos HU12 0HJ M: 07860 926404 T: 0845 527 6651 W: www.tvs.org.uk/2016-conference Politics Research & Innovation Leadership Clinical Practice Multidisciplinary Working