Register

Registration Information

To register please complete the following form and print out. At present we are unable to offer online registration.

Fax completed form to +44 1865 375855
Mail to: Gill Heaton, EACH 2008 Conference Secretariat, Hillside Cottages, Wheatley Road, Islip, Oxford OX5 2TF, UK

Please register me for the International Conference on Communication in Healthcare 2008

Delegate Details

Title:

Family name:

First name:

Job title:

Organization:

Address:

Post/Zip Code:

Country:

Tel:

Fax:

Email:

Special access or dietary requirements:

Please tick this box if you do not wish your name and affiliation to be included in the list of attendees given to delegates at the meeting.

Please tick this box if you do wish your email address to be given out to delegates of this conference, in the knowledge that it may be used by them for future 3rd party mailings.

Poster and oral presenters should provide their abstract reference number in order to ensure that their material is included in the final programme and abstract book:
Ref: 

Conference Fees

Non-EACH member: €500

Non-EACH member wishing to subscribe to the full membership for 2009*: €525

Current EACH member renewing subscription for 2009*: €450

Student registration**: €325

Late registration surcharge for all registrations received after 18 July 2008: €75

Please book places at the optional conference dinner at a cost of €50 per ticket SOLD OUT

* The registration fee for new and existing EACH members incorporates the membership fee to EACH for 2009, which includes a 2009 print and electronic subscription to the journal Patient Education and Counseling

** The student fee applies to students registered for a full-time higher degree and must be accompanied by a signed letter from your head of department attesting to student status. This rate is not applicable to post-doctoral students.

Payment Details

Total payment required €

Please charge my

Card No:

Expiry Date:

Today's Date:

Name and address of cardholder if different from above:

Name:

Address:

I confirm that all of the above information is correct and that I am the valid credit card holder or authorised to enter into this transaction on behalf of the individual identified above, who is the valid credit card holder.

Declaration

(Please note that unsigned forms cannot be accepted)

I have read and agree to abide by the payment and cancellation terms, and I understand that this form confirms my conference booking. I accept that from now on charges will be imposed for cancelled registrations, and that up to the full registration fee will be payable if I am unable to attend the conference for any reason.

 

Signed:_________________________________________________

Date:_____________

The personal information that you provide on this form will be used by Elsevier Limited, (a company registered in England and Wales with company number 1982084, whose registered office is The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK, conferenceinfo@elsevier.com) and its offices worldwide to process your registration.

We use your credit card and billing address details to bill you for the purchase and, where necessary to process the transaction, will pass this information on to relevant third parties. Your credit card information is used only for completing the purchase transaction and is retained only as necessary for administration purposes

The contact information you have provided may, with your permission, be used by us and affiliated and non-affiliated third parties for marketing purposes. We respect your privacy and do not rent, sell or disclose your personal information to any non-affiliated third party without your consent.

By submitting this form, you will be indicating your consent to receiving marketing messages from us unless you have indicated an objection to receiving such messages by ticking the boxes below.

If you do not wish to receive special offers or promotions from us about related products and services please tick the relevant boxes below.
Fax Email Tel Post

If you do wish to receive special offers and promotions from carefully selected third party products and services that we feel may be of interest to you, please tick the appropriate boxes below:
Fax Email Tel Post

Print this form

Organised by

EACH logo

Administration by

Elsevier logo