51st UK Conference on Human Response to Vibration Institute of Naval Medicine, Gosport 14 – 16 September 2016

Registration form

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One attendee £290* (VAT exempt)

Payment method ☐ Bank transfer ☐ Cheque by post (Details overleaf)

A receipt will be provided upon payment.

Please also provide me with: ☐ Invoice prior to payment ☐ Letter of invitation

Please send completed form and payment (if appropriate) to [email protected] or post to: Dr GS Paddan, Institute of Naval Medicine, Crescent Road, Alverstoke, Gosport, Hampshire PO12 2DL, United Kingdom

Payment Details

Bank transfer

Account name: Institute of Naval Medicine Research Fund Bank: Barclays Bank, Fareham

Sort code: 20-30-89 Account number: 40510475

IBAN: GB19 BARC 2030 8940 5104 75 BIC: BARCGB5G

Reference: If possible, please use your initial and surname to help identify your payment

Funds to be remitted in Pounds Sterling (£).

Please send notification of payments to [email protected] or your transaction may be difficult to identify in the bank records.

Cheque or banker’s draft

Made out to “INM Research Fund” payable in Pounds Sterling (£), and posted posted with this registration form to: Dr GS Paddan, Institute of Naval Medicine, Crescent Road, Alverstoke, Gosport, Hampshire PO12 2DL, United Kingdom

Bookings cancelled after 13th August 2016 will carry a cancellation charge.

*£190 fee comprises:  Conference proceedings

 Conference dinner

 Lunch and refreshments on all three days of the conference

 15 minute slot to present of your paper (if submitted)

 Use of audio visual equipment

The conference fee does not include accommodation costs – please make your own arrangements if required.

Details of local hotels will be available at: www.royalnavy.mod.uk/hrv2016