Individual Registration
Spring Meeting Waiting List
If a space becomes available, we will advise by 20th of March at the latest.
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
Please verify that you are human
*
Submit
Should be Empty: