REGISTRATION FORM

Registration fee (including dinner and ceilidh)

£160 (before 5 November 2010) 

£175 (after 5 November 2010) 

Partners are welcome to attend the evening event. Tickets can be purchased for
£50.
Please indicate how many extra evening tickets you require 
Payment by cheque only, payable to SESOG.
Please ensure you write your email address on the back of the cheque.
We apologise we cannot accept debit/credit card payment.

Please indicate with a tick which workshop you would prefer to attend for each
session. We will try to accommodate your preference.

Session 1
Basic laparoscopy Interview/CV tips
Management and business
planning
Session 2
Advanced Membership tips
laparoscopy Contraception update
Session 3
Forensic Infertility update
gynaecology
Session 4
Adolescent Menopause update
gynaecology

Personal details

Name____________________________________________________________________________
_
Address_________________________________________________________________________
__
Email
address_______________________________________________________________________
SpR/ST
year____________________Deanery_____________________________________________
Special dietary
requirements__________________________________________________________
Please return completed forms and payment to

AMOnGST 2010, c/o Ms Karen Witherspoon, Room S7127, Simpson

Centre for Reproductive Health, Royal Infirmary of Edinburgh, 51 Little
France Crescent, Edinburgh, EH16 4SA
Cancellations are non refundable
Please email enquiries to amongst2010@hotmail.com