National Conference Booking – Healthcare Professionals

£0.00

Please use the form below to book onto CLDF’s National Conference on Saturday 6th / Sunday 7th October 2018.

This form is for groups of 6 or fewer. If you would like to book for more than 6 people, or have any other queries, please call us on 0121 212 6029.

Please be aware that your booking is not complete until we have received payment– you will be redirected to WorldPay as soon as you have submitted your booking form. So please have your debit/credit card ready.

Following receipt of your payment, any delegate places and meals you have booked will be reserved for you.

Booking deposits for the event are as follows:-

Conference – £5 per delegate (Refundable on request after the event)

Evening Meal – FREE

If you have any questions, please give us a call on 0121 212 6029 or email conference@childliverdisease.org.

Lead booker title *

Lead booker first name *

Lead booker surname *

Lead booker address *

Lead booker email address *

Lead booker phone number *

Address type

Organisation

Job title

Conference delegate tickets – max 5 (£5 each)

This must be a number!

Evening meals – max 5 (FREE)

This must be a number!

Area of work

Additional attendee title

First Name

Surname

Organisation

Job title

Email address

Phone number

Area of work

Hidden Layout

Additional attendee title

First Name

Surname

Organisation

Job title

Email address

Phone number

Area of work

Hidden Layout

Additional attendee title

First Name

Surname

Organisation

Job title

Email address

Phone number

Area of work

Hidden Layout

Additional attendee title

First Name

Surname

Organisation

Job title

Email address

Phone number

Area of work

Hidden Layout

Additional attendee title

First name

Surname

Organisation

Job title

Email address

Phone number

Area of work

Group dietary requirements (if applicable)

Any additional information