Booking Form

Royal College of Psychiatrists in Scotland

Scottish Psychiatry Winter School

Friday 19thto Saturday 20th January 2018

How to book

You can book your place by completing the following booking form (attached to this sheet) and return it with your payment to Susan Richardson, RCPsych in Scotland, 12 Queen Street, Edinburgh, EH2 1JE.

Alternatively, if you are a Student / Foundation Doctor Associate, you can book online via the website at:

Places will be confirmed on receipt of payment so we advise you to pay upfront and claim back from your employer. IF YOU DO NOT RECEIVE CONFIRMATION FROM THE COLLEGE THEN YOU DO NOT HAVE A PLACE! Places are allocated on a first-come basis.

If you have not heard from us and you are concerned about your place, or if you have any queries please contact Susan Richardson at or telephone 0131 220 2910.

Payment Methods

  • Card payments can be made online at:
  • Please make cheques payable to ‘The Royal College of Psychiatrists’ and quoting reference ‘J1A0127300’ on reverse. Please note cheques will be held until much nearer the meeting to guarantee your place.
  • Call the office on 0131 220 2910 and make your booking over the phone.

Please book by Tuesday 16th January 2018 at the latest.

Venue Details

Gannochy Seminar Room

Wolfson Medical Building, University Avenue, Glasgow, G12 8QQ

Cancellation Policy

(Notice must be given in writing by post or e‐mail )

- 80% refund if written cancellation is received at least 4 weeks prior to the event

- 50% refund if written cancellation is received 2 weeks prior to the event

- No refund will be given to cancellations received within 2 weeks of the event. Should you be unable to attend a substitute delegate may attend in your place.

Royal College of Psychiatrists in Scotland

Scottish Psychiatry Winter School

Friday 19th to Saturday 20th January 2018

PERSONAL INFORMATION

(Please complete all sections of the form)

RCPSYCH MEMBERSHIP NUMBER

TITLE FIRST NAME______SURNAME ______

MAILING ADDRESS ______

TOWN POSTCODE COUNTRY

EMAIL (used for correspondence)

TEL (daytime)

VEGETARIAN YES/NO SPECIAL DIETS

SPECIAL REQUIREMENTS (e.g. mobility needs etc)______

PREVIOUS SPSS ATTENDANCE? YES/NO – Name of course and date______

REGISTRATION FEE £15.00

PAYMENT METHODS

I ENCLOSE A CHEQUE/POSTAL ORDER FOR £______(make payable to ‘The Royal College of Psychiatrists’ quoting reference ‘J1A012’ on reverse)

PAYMENT BY CREDIT CARD (print Credit Card Booking Form on separate pagefor shredding purposes)

Credit Card Booking Form

Please complete this form in BLOCK CAPITALS

Card Type (Visa, Mastercard, Delta etc)
Card Number
Security Number (last 3 digits on reverse of card)
Expiry Date
Start Date / Issue Number
Name on Card
Address card is registered to

SIGNATURE …………………………………………………………………… DATE……………………….

Data Protection Statement

The College’s Data Protection Statement can be viewed at