KetoCollege UK 2017 Booking Form

Venue: Crowne Plaza Felbridge, London Road, East Grinstead, West Sussex, RH19 2BH, England

Date: Tuesday 27th June, Wednesday 28th June and Thursday 29th June

Registrations are welcome from allied medical health care professionals currently working with or looking to expand their knowledge of Ketogenic Dietary Therapies.

Booking Form

    Option Required*

    Your Profession*

    Profession (if other)*

    Title*

    First Name* (required)

    Surname*

    Job Title / Position*

    Hospital / Centre*

    Address

    County

    Zip / Postcode

    Country

    Business Phone

    Email

    * Fields marked with an asterisk will appear on your delegate badge.

    Kindly specify any special dietary requirements:

    Please indicate your method of payment: Credit card / BACS / Invoice

    One booking form per delegate to be sent to Julie Fountain

    Options

    Please indicate the option you require on the form below:

    • Delegate Rates do NOT include accommodations, these can be booked and paid for separately here.
    • Day Delegate Rate Attending Tuesday (Medical Masterclass) Only £160
    • Day Delegate Rate Attending Wednesday Only £160
    • Day Delegate Rate Attending Thursday Only £160
    • 2-day Delegate Rate Attending Wednesday AND Thursday (NOT TUESDAY) £320
    • 3-day Delegate Rate Attending Tuesday, Wednesday AND Thursday £450
    • 2-day and 3-day Delegates include complimentary KetoCollege Dinner on the evening of Wednesday 28th June, at the conference venue hotel.
    • Delegates are welcome to make their own arrangements for Tuesday 27th June evening dinner.
    • Refreshments and lunch are included throughout the day for all delegates.
    • Medical students (Student physicians/Dietitians/Nurses) Day Delegate Rate £125, 2-day rate £250, 3-day rate £375

    Method of Payment

    1. Cheques to be made payable to ‘Matthew’s Friends Clinics Ltd’ and sent to Matthew’s Friends, St Piers Lane, Lingfield, Surrey, RH7 6PW ENGLAND, UK.
    2. BACS payments may be made to:
      HSBC OXTED
      Account Name: ‘Matthew’s Friends Clinics Ltd’
      Sort Code: 40-35-40 Account Number: 21478451
      BIC: MIDLGB2148L IBAN: GB24MIDL40354021478451
    3. Invoices may be issued. Please request these from ketocollege@mfclinics.com advising invoice address and purchase order number / reference

    Contact Details

    Email: j.fountain@mfclinics.com
    Tele: +44 (0) 1342 836571
    Fax: +44 (0) 1342 837792
    Mob: +44 (0) 7748 800438
    Address: Matthew’s Friends, St Piers Lane, Lingfield, Surrey RH7 6PW. England UK

    Cancellations

    Delegate fees are refundable subject to a £30 admin fee and any applicable bank charges sustained up to 14 days prior to the start of the meeting.

    After that time we are unable to offer any refunds. Registrations may be transferred to another name up, to 7 days prior to the meeting.

    After that time we are unable to offer registration transfers.

    Confirmations will be sent upon receipt of completed booking form and payment.

    Delegate places are not confirmed until full payment is received.