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ONLINE BOOKING FORM FOR:
BSMDH (SCOT) SPRING SYMPOSIUM AT DUNBLANE HYDRO HOTEL
Saturday 2nd and Sunday 3rd February 2008
PLEASE COPY/PASTE AND PRINT THIS PAGE, COMPLETE AND RETURN TO:
DR H. MACKINNON, 20 BORDEN ROAD, GLASGOW, G13 1QX
Name...............................................................................................................................................................
Address ...........................................................................................
...........................................................................................................
...........................................................................................................
Tel (Home)..........................................(Work)................................................(Mobile)...................................
Email address.................................................................................................................................................
Occupation: Doctor......... Dentist......... Other (Specify)......................................................................
Please place tick next to your booking option(s).
Weekend rate:
(Course fee, Sat & Sun lunches & tea breaks, Society Dinner, Bed and Breakfast) = £250.........
Day Delegate fee:
Course fee: Saturday and Sunday = £160..........
Saturday only = £60.........
Sunday only = £100.........
Saturday Society Dinner = £25.......
Accompanying guest:
Accompanying guest for Saturday night society dinner = £25........
Accompanying guest for Saturday night society dinner, and Bed & Breakfast = £65........
Attendance at Sunday Meeting = £100.......
NAME OF ACCOMPANYING GUEST.........................................................................................................
TOTAL ENCLOSED = £....................................
Please make cheque payable to The BSMDH (Scotland)
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For Office Use only:
Date received....................................... Confirmation sent........................... Payment received..........................
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