Irish Postgraduate Conference registration form

Please complete the following form in order to begin your registration for the Irish Postgraduate Conference. Please complete one form per person.

Please note there is a cost to attend the conference.

If you have any queries regarding completing the below form, please contact the Society's Conference Coordinator.

Title *

First name *

Surname *

Gender *

Female

Male

Postal address 1 *

Postal address 2 *

Postal address 3

Post code *

Degree programme (students only)

MSc

PhD

Graduation year (students only)

Day

Month

Year

Name of University you are affiliated to *

Telephone contact number *

Email address *

Have you submitted an abstract to present at the conference? *

Yes

Are you a Nutrition Society member for 2017? *

Yes

Have you presented at a Postgraduate conference before? *

Yes

What is the title of the work you will be presenting?

Please select the day you wish to attend the conference *

Thursday 16 February

Friday 17 February

Both 16 and 17 February

Would you like accommodation on 15 February? (accommodation costs are noted in the fees section) *

Yes single room B&B

Yes twin/double room B&B

Would you like accommodation on 16 February? (accommodation costs are noted in the fees section) *

Yes, single room B&B

Yes, twin/double room B&B

Do you have any special requirements regarding your accommodation? If yes, please specify below:

Would you like to attend the drinks reception on 15 February? (included in delegate fee) *

Yes

Would you like to attend the conference dinner on 16 February? (extra cost. Please refer to the 'fees' section to ascertian the cost to attend the dinner) *

Yes

Are you a vegetarian? *

Yes

Do you have any other specific dietary requirements? If yes, please specify below:

How would you like to pay for your place? Payment details will be sent to you via email after you have submitted your application *

Cheque

BACS transfer

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History

Find out more about our history, from how the Nutrition Society was first established, to how we’ve become the largest learned Society in Europe today.

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Irish Postgraduate Conference registration form

Membership

History