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Online Registration

Please complete and submit the following form to register to attend the HSA International Symposium 2015.

After submitting the form, you will be asked to follow a link to complete registration by paying the registration fee online. Registration is not complete until payment has been received.

Students please note: Student places are not available via online registration, please email the HSA office for availability.

Title

First Name *

Surname *

Organisation/Affiliation

Address Line 1 *

Address Line 2

Address Line 3

City

Postcode *

Country *

Mobile phone no (for covid alert) *

Email *

Special Requirements (including dietary)

Registration group *

Students: place of study or student registration no

If presenting at the conference please give the abstract title

I am happy for my email to be circulated in the list of delegates at the event: *

Yes

No

I confirm I have read and understood the terms and conditions *

I consent to HSA sending me information about HSA’s technical and scientific activities via email

I consent to HSA sending me information about supporting HSA via email

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