British Veterinary Zoological Society Autumn Meeting 2014
7 November: visit to Blackpool Zoo
8-9 November: Lancaster University
Lancaster University Management School, Bailrigg, Lancaster, Lancashire LA1 4YX
Please complete this form and send it with a cheque (made payable to BVZS) or debit/credit card details (see below) for the appropriate amount. Confirmation of registration will be sent by email. Rebates will only be given in urgent and exceptional circumstances Please post or email this form and remittance to: Victoria Roberts BVSc MRCVS, BVZS Administrator, Heather Bank, Hillings Lane, Menston, Ilkley, West Yorkshire LS29 6AU, email:, mobile 07971 482292.
First name, last name and qualifications (please print)Address
Postcode
Telephone no. / Fax no.
Email address / Date
Tick (X ) / REGISTRATION FEES / Amount
STANDARD REGISTRATION / Early bird / After 29/09/2014
Full/Associate BVZS member, all weekend / £295 / £ 395
Full/Associate BVZS member one day registration / £ 185 / £ 230
Non BVZS member(membership registration possible @ / £ 550 / £ 570
Non BVZS member one day registration / £ 315 / £ 365
CONCESSIONS (The Early Bird deadline does not apply to concessionary rates)
BVZS Honorary Member / £ 0 / --
BVZS member: student / retired / veterinary nurse (please delete) / £ 65 (1 day) / £ 95 (2 days)
Non-BVZS member: student / veterinary nurse(membership registration possible @ / £ 135
Student stewardship - expression of interest (refund of relevant registration fee after selection only) / £ 0 / --
Poster presentation - BVZS member: student / veterinary nurse / £ 75
Poster presentation - non-BVZS member: student / veterinary nurse / £120
Speaker - presenting <30 minutes / £95 (1 day) / £ 195 (2days)
Speaker - presenting twice or >=30 minutes / £ 0 (1 day) / £ 95 (2days)
Speaker - student / veterinary nurse / £ 0 (1 day) / £ 65 (2 days)
Accompanying person(s)- coffee/tea & lunch on both days / Numbers: / £ 90 each
SOCIAL REGISTRATION
Friday visit to BlackpoolZoo / Number: / £ 0 / --
Saturday evening dinner at LUMS+ pub quiz & disco / Number: / £ 35
Voluntary donation to the ZEBRA Foundation / £
Total enclosed / £
ROUND TABLE CHOICES – see programme for details (PLEASE LABEL IN ORDER OF PREFERENCE: 1 = PREFERRED OPTION)
Wildlife / Rabbits and rodents / Snake cases
Vet nurses / Birds
Dietary and Other Needs / Vegetarian: / Vegan: / Other dietary: / Numbers:
Special needs:
Mailing list / If you do NOT want your details put on a delegate list for sponsors, please tick here ( )
PAYMENT details – CAPITALS please / Please note we cannot accept American Express or Electron/Solo cards
Card type (delete) / VISA / SWITCH / MAESTRO / MASTERCARD
Cardholder’s name
Address
Postal code
Card number / Security code*
Issue no.(if applicable) / Start date (if applicable) / / / Expiry date:
*Last 3 digits of number on signature strip on reverse of card
Please consider different transport options and lift sharing to reduce the environmental impact of your journey
Please note that online registration is planned for 2015 onwards!