British Veterinary Zoological Society Spring Meeting 2015

20 March: visit to Twycross Zoo

21-22 March: Loughborough University

Holywell Park, Imago, Loughborough University, Leicestershire LE11 3TU

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 28/02/2015
Full/Associate BVZS member, all weekend / £295 / £405
Full/Associate BVZS member one day registration (state which day) / £ 190 / £ 240
Non BVZS member(membership registration possible @ / £ 555 / £ 580
Non BVZS member one day registration (state which day) / £ 320 / £ 375
CONCESSIONS (The Early Bird deadline does not apply to concessionary rates)
BVZS Honorary Member / £ 0 / --
BVZS member: student / retired / veterinary nurse (please delete) / £ 70 (1 day) / £ 100 (2 days)
Non-BVZS member: student / veterinary nurse(membership registration possible @ / £ 140
Student stewardship - expression of interest (refund of relevant registration fee after selection only) / £ 0 / --
Poster presentation - BVZS member: student / veterinary nurse / £ 80
Poster presentation - non-BVZS member: student / veterinary nurse / £125
Speaker - presenting <30 minutes / £100 (1 day, state which) / £ 200 (2days)
Speaker - presenting twice or >=30 minutes / £ 0 (1 day, state which) / £ 100 (2days)
Speaker - student / veterinary nurse / £ 0 (1 day, state which) / £ 70 (2 days)
Accompanying person(s)- coffee/tea & lunch on both days / Numbers: / £ 100 each
SOCIAL REGISTRATION
Friday visit to Twycross Zoo / Number: / £ 0 / --
Saturday evening dinner at Burleigh Court Hotel / Number: / £ 39
Voluntary donation to the ZEBRA Foundation / £
Total enclosed / £
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 now available.