Research Conference 2016 Booking Form

NCSE Annual Research Conference, Wednesday November 16th 2016

To book a place at the conference please complete the booking form below and send to us by clicking ‘submit form’.

The deadline for submission of booking forms is 5pm Wednesday November 2nd.

When you submit the booking form, an automated response will issue to confirm your booking. If you do not receive this confirmation within 24 hours please contact us at NCSEResearch@ncse.ie.

Please provide all of the information below as this will help to ensure that our mailing list is up to date. ALL FIELDS ARE REQUIRED

Title: *

First Name: *

Surname: *

Organisation: *

Position: *

Email: *

Telephone: *

Address: *

Access and Dietary Requirements Please specify below if you have any particular access or dietary
requirements (e.g. sign language, vegetarian, vegan etc.).