First Name:
Last Name:
RSC Membership Number (if applicable):
Address 1:
Address 2:
City :
E-mail address:
Name of Conference/Event:
Conference/Event Date:
Payment Method:
How did you hear about this event?
Further Information:

Special Requirements:
(disability, vegetarian, medical conditions)
We may contact you by mail, telephone, email or fax to tell you about activities, products and services that may be of interest to you. If you DO NOT wish to receive this information, please put a tick in the box. 

Terms and Conditions

Cancellations received in writing 4 weeks prior to the meeting will be subject to a 25 percent administrative charge. We regret that no refunds can be made after this date. Substitutions can be made at any time.