Individual Registration
Spring Meeting Registration
The registration fee for the Spring Meeting at the Europa Hotel in Belfast is €50. Spaces are limited and will be allocated on a first-come, first-served basis.
Event Registration Income
Name
*
First Name
Last Name
E-mail
*
Institution
*
Phone Number
*
-
Area Code
Phone Number
Are you a member of a host Society? (ITS, UTS. BTS)
*
Yes
No
Category
*
Consultant
SpR/NCHD/Resident
Health Social Care Professional
Membership Number
*
Non-Member
*
Non-Member Consultant
Non-Member SpR/NCHD/Resident
Non-Member Health Social Care Professional
Lunch
*
Yes
No
Will you attend the Friday Evening Dinner
*
Yes
No
Do you have dietary restrictions?
Yes
No
Dietary Restrictions
Would you like to receive CPD Certificate (with the condition of attendance)?
*
Yes
No
GDPR Agreement
*
I consent to having this web site store my submitted information so they can respond to my enquiry
Consent
*
I give permission to the organisers to contact me about future Irish Thoracic Society events
Payment
Registration Fee is €50
Total Amount
*
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please verify that you are human
*
Submit
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