ACB Northern Ireland Region Spring Scientific Meeting to be held in the Wellington Park Hotel, Belfast Friday 24th April 2015 Registration Form PLEASE COMPLETE AND FORWARD BY EMAIL TO: Jenny.Hamilton@belfasttrust.hscni.net Title: .......... First Name: .......................................… Last Name: .............................................................. Organisation: .......................................................................................................................... Address: ................................................................................................................................. ................................................................................................................................................ City :............................................................ Post Code: ....................................... Country: ..................................................... Tel: ................................................... Email: .................................................................................. Membership No: ............................... Registration I would like to attend this meeting and *paid securely online / am not required to pay (delete as appropriate) □ Free □ £ 10.00 ACB Members Non Members Sessions □ I will attend the morning session □ I will attend the afternoon session □ I will require lunch Please note that there is no charge for refreshments/lunch. However, in order to avoid waste of finance and food, please only request lunch if you intend to partake. Please state any dietary/disability requirements: ______________________________________________ nd Meetings Secretary: Dr Jenny Hamilton, Regional Toxicology Laboratory, 2 Floor Kelvin Laboratories, Royal Hospitals, Grosvenor Rd, Belfast BT12 6BA, Email Jenny.Hamilton@belfasttrust.hscni.net A company limited by guarantee, Registered in England, Registration No. 863235 Registered Office: Association for Clinical Biochemistry and Laboratory Medicine, 130‐132 Tooley Street, London SE1 2TU Website: www.ACB.org.uk