FACULTY OF RADIOLOGISTS Combined Spring Meeting 24th & 25th April 2015 Maryborough House, Cork Registration Category: Early Fee Late Fee (On or before 10th April 2015) (After 10th April 2015) Consultants €150 €175 Retired Consultants Radiographers Physicists Registrars in Training NCHDs (First authors of accepted posters are waived) €75 €100 Lunch will be provided on the Friday for all registrants Name ____________________________________Category_______________________________ Contact Address ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Email: __________________________________________________________________________ Registration Fee Enclosed ______________________________________ Euro Conference Dinner on Friday 24th April, Maryborough House €70 per person I wish to attend the Dinner Yes I wish to bring a guest Yes Name of guest __________________________________________ Total (Registration & Dinner) Enclosed ____________________________ Euro Faculty of Radiologists, Royal College of Surgeons in Ireland 123 St. Stephen’s Green, Dublin 2. Tel: +353-1-402 2139 Fax: +353-1-402 2466 Email: radiologyscientific@rcsi.ie Website: www.radiology.ie No No FACULTY OF RADIOLOGISTS Combined Spring Meeting 24th & 25th April 2015 Maryborough House, Cork Registration policy Numbers for the meeting will be limited and we cannot guarantee places will be available on the day so we recommend you register in advance. Please note that payment must be made at time of registration, and we cannot hold places. Cancellation Policy A full refund will be available for cancellations up to and including the 10th of April. Cancellations made up to and including the 20th of April will be entitled to a 50% refund. For cancellations after that date, we regret that we will not be able to offer a refund. Accommodation Please note that all accommodation enquiries must be directed to the hotel. We have rooms held at Maryborough House for the Thursday and Friday night at the following b & b rates per night: €105.00 per person, Bed & Breakfast, based on single occupancy. €140.00 per twin/double room, Bed & Breakfast Please note that the booking must be made directly with Maryborough House, and to avail of this negotiated rate, please provide the booking office with the name of the conference. Rooms will be held until 23rd March 2015. Contact details: T: +353 21 436 5555 / F: +353 21 436 5662 / E: info@maryborough.ie Faculty of Radiologists, Royal College of Surgeons in Ireland 123 St. Stephen’s Green, Dublin 2. Tel: +353-1-402 2139 Fax: +353-1-402 2466 Email: radiologyscientific@rcsi.ie Website: www.radiology.ie FACULTY OF RADIOLOGISTS Combined Spring Meeting 24th & 25th April 2015 Maryborough House, Cork Payment Form Please make cheques payable to the Faculty of Radiologists, or alternatively you can pay by credit card or laser. Mastercard: Visa: Laser: Card Number: ______________________________________________________ Expiry Date: ______________________________________________________ Name (block letters): ______________________________________________________ Address: ______________________________________________________ Cheque: ______________________________________________________ ______________________________________________________ Signature: _______________________________ Date: __________________ Faculty of Radiologists, Royal College of Surgeons in Ireland 123 St. Stephen’s Green, Dublin 2. Tel: +353-1-402 2139 Fax: +353-1-402 2466 Email: radiologyscientific@rcsi.ie Website: www.radiology.ie