Improving the lives of adults and children with hearing and balance problems
AUDITORY PROCESSING DISORDER
INFORMATION DAY FOR FAMILIES & PROFESSIONALS
Saturday 14th March 2015
09.45 am – 4.30pm
33 Queen Square, London WC1N 3BG, nearest tube: Russell Square
REGISTRATION FORM
£30.00 / BSA Member
£35.00 / Non BSA Member
£5.00 / Student BSA Member/Non Professional/Individual with APD/Parent/Family Member/Partner
£5.00 / Student Non BSA Member/Non Professional/Individual with APD/Parent/Family Member/Partner
BSA Members who are currently retired or unemployed but who wish to attend this meeting may be entitled to a reduced delegate rate. Please contact the Admin Office for further information.
Delegate DetailsBSA Number
Title / MrMrsMissMsDrProf
Surname / First Name
Place of Work
Address
Post Code
Telephone Number
Email Address
Purchase Order No
Invoice Address (if different from above)
Post Code
I have read and agree with the Terms and Conditions of registering for the Meeting (overleaf).
Signed / DateAdditional Information
Special dietary requirements: / YESNO
If ‘yes’ to above, please specify
Certificate of attendance for CPD* / YESNO
Use of hearing loop / YESNO
dditional Information
CHECKLIST (please delete as appropriate)Full payment made YESNONOT APPLICABLE
Purchase order details sent YESNONOT APPLICABLE
BSA membership number providedYESNONOT APPLICABLE
IMPORTANT NOTICE
BSA Meeting and Conference Registration
Terms and Conditions
Anyone wishing to attend a Society meeting or conference must first complete a registration form in respect of that meeting and have received written confirmation of their registration from the Society’s Admin Office prior to attending. If intent to attend a meeting is given by telephone or other means, this must be followed by a completed registration form.
The registration form should be completed with payment in full. Delegates who expect a Health Authority, Trust or other employer or organisation to pay must arrange for that organisation’s cheque (or official Order Number and invoice address) to be sent at the time of registration. Where that is not possible for any reason, the delegate must submit a personal payment and seek subsequent re-imbursement from the employer. Provisional bookings CANNOT be accepted.
Confirmation will normally be sent to delegates upon receipt of online registration. If confirmation is not received at this time, it is the responsibility of the delegate to obtain confirmation. A receipt will be sent out prior to the meeting.
In order to assist meeting organisers, delegates are requested to register as early as possible. Late registrations will normally be accepted if space is available, but may be subject to an additional charge.
If a delegate is unable to attend a meeting, a refund may be granted at the discretion of the Society’s Trustees. The amount of any refund will depend upon the unrecoverable expenses incurred by the Society. These will vary depending on the venue and, usually, on the amount of notice of cancellation given to the Society by the delegate. Requests for refunds, stating the reason why the delegate is/was unable to attend, must be sent to the BSA Admin Office in writing within seven days of the meeting. The Trustees’ decision shall be final.
Where meetings are subject to CPD points, Certificates of Attendance will be issued at the end of the meeting.
These revised Terms and Conditions supersede all previous Terms and Conditions.
Although care has been taken in preparing course content, the British Society of Audiology does not and cannot guarantee its interpretation and/or application. The BSA cannot be held responsible for any errors or omissions and accepts no liability whatsoever for any loss or damage howsoever arising. Opinions expressed are those of the speaker(s) and do not necessarily represent the views of the BSA.