14th Annual TNC Liaison Psychiatry Conference
Wellcome Collection – 20-21 November 2015
BOOKING FORM
I wish to reserve the
following:
(please indicate by
circling the rate and
whether you wish also
to pre-book dinner)
Full Conference
With 1 night B&B
Accommodation
Ibis Euston Fri 20 Nov*
Full Conference
No Accommodation
Conference Dinner
Fri 20 Nov 2015
*£220
(£200 early bird)
£125
(£115 early bird)
£30
10% Discount for
Doctors in Training
*£198
£112.50
£30
20% Discount for nonmedical staff & medical /
nursing students
*£175
£100
£30
*** FREE PLACES FOR
MEDICAL STUDENTS
***
There are a limited
number of free places
available for students
Standard Rate
(early-bird before
16/09/15)
Please contact Dr Christopher Hilton (TNC Chair) for
details christopher.hilton@nhs.net
Name:
Discipline (e.g. doctor / nurse etc):
& Full Title (e.g. Consultant /ST6 / Band 6):
[please state if trainee / student]
Team & Hospital / Trust [University if student]:
Correspondence address:
Email:
Contact No:
Special Requirements (e.g. Vegetarian food):
Sorry we are unable to accept card payments
□
I enclose a cheque payable to “Trainees and
New Consultants Group of Liaison Psychiatry”
A cheque is enclosed to the amount of:
£ ____________________________
□
I confirm that have made a bank transfer to
NatWest SC: 52-21-63 Acc No. 29025443
and referenced the transfer using the following
format: TNC (initial and surname)
Signature
I transferred:
£ ____________________________
Date
____________________________________
________________________
Please send completed forms by post (if sending
cheque) or email (if doing bank transfer) to:


Full refund available up to 6/52 before the conference.
50% for next 3/52. No refund last 3/52.
Dr Marc Mandell (TNC Treasurer)
RAID Team, Shrodells Unit
Watford General Hospital
Vicarage Road
Watford
WD18 0HB

Email: Marc.Mandell@hpft.nhs.uk

* To offer these low prices we have secured a limited
number of discounted accommodation places for Friday 20
Nov, which are available on first come, first served basis.
From 4 weeks before the event, there may only be day
delegate places available, and you will have to organise
your own accommodation (in the Ibis or other local hotels –
rates will vary). Please contact us for information if booking
less than 1 month before the event.
Book early to avoid disappointment!
