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INFLAMMATORY BOWEL DISEASE MASTERCLASS
WHERE THE GASTROENTEROLOGIST & SURGEONS GATHER TOGETHER
Saturday 27th April 2024
King's College London
Bush House, 30 Aldwych, London WC2B 4BG, UK
DELEGATE REGISTRATION FORM
Regitration Date
DD
/
MM
/
YYYY
Name
Address
Email
Afilitated hospital
What department?
Colorectal surgery
Gastroenterology
Oncologist
Other
Colorectal surgery
REGISTRATION FOR SCIENTIFIC EVENT
What option of registration will require?
Physical registration to attend Bush House on 27th April (No Free Sponsored Registration available from today 27th March.)
Online virtual access (Subject to sponsorship availability - Currently adviced to book a physical registration)
What position are you?
If you are a Surgical trainee, Medical student, Retired surgeon or Nurse or Allied specialist you will need to upload evidence of your status below.
Medical Consultant - £45
£45.00
Surgical consultant - £45
£45.00
General practitioners - £45
£45.00
Active 2024 ISUCRS Fellow/Candidate Member
Trainees & associate specialist - £30
£30.00
Retired physician/surgeon - £30
£30.00
Nurses & allied specialities - £20
£20.00
Industry registration - £150
£150.00
Medical Student (FREE - Limited to 10 Places)
Virtual Attendance - What position are you?
Medical Consultant
Surgical consultant
General practitioners
Trainees & associate specialist
Retired physician/surgeon
Nurses & allied specialities
Industry registration
Medical Student
All On line Registration
Online Registration - £25
£25.00
Online Registration (FOR ISUCRS FELLOWS/MEMBERS ONLY) - Free
ADDITIONAL INFORMATION
Are you a fellow of ISUCRS
Please select
Yes
No
Please select
If you are not a member of ISUCRS would you like to be member?
Please select
Yes
No
Please select
If you are trainee you will need to upload evidence of your status for us to verify your registration.
(ID badge etc)
Delete all uploads
Choose files or drag here
If you are a retired physician/surgeon, you will need to upload evidence of your status for us to verify your registration.
(ID badge etc)
Delete all uploads
Choose files or drag here
If you are a nurse or allied specialist you will need to upload evidence of your status for us to verify your registration.
(ID badge etc)
Delete all uploads
Choose files or drag here
If you are a medical student you will need to upload evidence of your status for us to verify your registration.
(ID badge etc)
Delete all uploads
Choose files or drag here
If you an Active 2024 ISUCRS Fellow/Candidate member you will need to upload evidence of your status for us to verify your registration.
(ID badge etc)
Delete all uploads
Choose files or drag here
Additional Information
CANCELLATION POLICY Up to 6th April 2024 - 100% refunds will be available. Thereafter there will be no refunds except for exceptional circumstances
I agree to the cancellation terms above.
An electronic CME/CPD certificate will be sent to delegates after conference and on completion of online survery.
PAYMENT SUMMARY
Verification
Submit
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