10TH ANNUAL CONFERENCE ON HOME DIALYSIS
28 and 29 SEPTEMBER 2017
LOWRY HOTEL, DEARMANS PLACE, CHAPEL WHARF, MANCHESTER M3 5LH
REGISTRATION
Please complete in full in BLOCK LETTERS
PLEASE WRITE CLEARLY
LAST NAME: ______
FIRST NAME (in full)______
OCCUPATION (pls complete) ______
HOSPITAL ADDRESS:______
______
Tel: ______Email: ______
Non Consultant Registration Fee £120.00 for registrations up to 30.8.17
Non Consultant Registration Fee£140.00 for registrations after 30.8.17
Consultant Registration Fee £150.00 for registrations up to 30.8.17
Consultant Registration Fee £170.00 for registrations after 30.8.17
The registration fee includes conference drinks reception, conference dinner (with wine) lunches and refreshments during coffee breaks. Please indicate below your attendance as required.
Attending Day 1Yes/No
Attending conference dinnerYes/No
Attending Day 2Yes/No
Require lunch Day 2Yes/No
Please choose one breakout session and indicate which below which you wish to attend as these will be pre allocated :
Vascular access sessionYes/no
Dialysis Welfare supportYes/no
MDT Dialysis SupportYes/no
21st Century Dialysis supportYes/no
Special dietary requirements ______
______
PAYMENT
ANY CHEQUES PAYABLE TO:“Renal Administration”
PLEASE INCLUDE HOTEL PAYMENT IF ACCOMMODATION HAS BEEN REQUESTED. PLACES WILL NOT BE ACKNOWLEDGED AND RESERVED UNLESS PAYMENT HAS BEEN RECEIVED. IF SENDING PAYMENT BY BACS PLEASE ENSURE YOU INCLUDE YOUR NAME AS REFERENCE SO PAYMENT CAN BE TRACED BACK TO YOUR REGISTRATION.
Account: Renal Administration: Sort code: 30 95 42 :Account:05228335:
BIC LOYDGB21004: IBAN GB42 LOYD 3095 4205 2283 35
PAYMENTS MUST BE RECEIVED PRIOR TO THE MEETING OR ENTRY WILL BE REFUSED ON THE DAY UNLESS OTHERWISE AGREED PRIOR TO THE MEETING WITH DIANE COMER.
CONFIRMATION
Confirmation of registration will be sent to delegates whose payment has been received. Should you not receive confirmation this means you are not registered therefore please contact the organiser prior to the event.
ACCOMMODATION
Accommodation required:YES/NO
Dates required:______
Hotels: Lowry/Victoria and Albert
(Please circle hotel choice) See descriptions below
Please return Registration and Payment to the Conference Administrator:
Mrs Diane Comer, 5 Trent Drive, Bury BL9 6QZ, Lancashire
Email:
RECOMMENDED HOTELS
The Lowry Hotel, Dearmans Place, Chapel Wharf, Manchester M3 5LH
5 Star
Manchester’s exclusive Lowry Hotel offers the ultimate in comfort, leisure and cuisine. All bedrooms are spacious and have walk in wardrobes and marble en-suite bathrooms. All are equipped with the latest facilities for both business and leisure and many boast a river view.
The Lowry offers a relaxing haven from the busy Manchester streets, The Spa at The Lowry Hotel offers a wide selection of treatments specifically designed to restore mind and body, together with a gym, sauna, health suite and relaxation rooms.
The Lowry Hotel is the first hotel in Manchester to become a member of The Leading Hotels of the World.
A self contained floor dedicated to conference and banqueting makes it a perfect choice to hold an event.
Please Note:
All bedrooms and public areas in The Lowry Hotel are non-smoking
Room Rate only no breakfast£145.00 per room per night
(all rooms have double beds/twin beds)
Car parking is restricted to guests staying overnight and is chargeable,
Victoria and Albert Marriott Hotel, Water Street, Manchester M3 4JQ
4 Star
Just 5 minutes from the Conference Venue, the hotel is a former warehouse and a listed building dating back to 1844.
Set on the banks of the River Irwell this hotel exudeshistorical charm that appeals to business and leisure travellers. Luxuriously appointed guest rooms are graced by original oak beams and exposed brick. All have high speed internet access.
Room Rate: Standard (single)£129.00 per room per night B/B
Deluxe double£139.00 per room per night B/B
Hotel within walking distance of the Lowry Hotel but with whom I do not hold a conference contract :
Premier Inn, New Bailey Street, Manchester contact direct re tariff