Name
*
First Name
Full Surname
Email
*
Confirmation Email
example@example.com
Phone Number
*
(With country code eg +44 790411111)
Are you attending Assembly
*
Yes - In Person
Yes - Virtually
No
Are you attending Convention
*
Yes - In Person
Yes - Virtually
No
I am a ...
*
Please select an option
Board Member
Trustee Liaison
Parliamentarian
Service Body Representative
Meeting acting as a Service Body
Service Body From Another Region
Committee Chair
Service Coordiantor
Visitor / OtherSer
What is the name of your Service Body
Name of Service Body Chair
*
First Name
Initial of Last Name
Email of Service Body Chair
*
example@example.com
What type of accommodation do you require
Single Room
Twin Room
By registering, I acknowledge that Assembly sessions will be recorded. I understand that if I choose to share at any session, my voice may be part of that recording.
*
Yes - I agree
I consent for my data to be transferred outside the EEA between Region 9 and Board Members and Committee Members.
*
Yes - I agree
Do you wish to be added to the Region 9 distribution list
Yes
No
Submit
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