East Anglian Obstetrical and Gynaecological Society

East Anglian Obstetrical and Gynaecological Society

Founded – 1956 www.eaogs.org.uk President: Mr Mahmood Shafi Secretary: Mr. Siya Sharma Treasurer: Mr. Michael Lumb. Website Officer: Mr Bruce Ramsay. Trainee Rep: Lynne Cooke.

Registration Form

SPRING 2017 MEETING

TO BE HELD AT BOURN HALL, BOURN, CAMBRIDGESHIRE CB23 2TN

ON FRIDAY 5TH MAY 2017

(free parking on site)

TITLE
SURNAME
FIRST NAME
ROLE
CURRENT HOSPITAL
CONTACT TELEPHONE NO.
EMAIL ADDRESS
EAOGS MEMBERSHIP / Yes / No ** (** please delete as appropriate)
ACCOMPANYING PERSON’S NAME
ACCOMPANYING PERSONS’ DAY / Would like / does not** wish to participate in the Accompanying Persons’ Day activities as outlined below (** please delete as appropriate)
09.00 Depart Bourn Hall
10.00 Arrive Ely Cathedral
10.30 Glass painting workshop – morning session
12.30 Break for Lunch
13.00 Glass painting workshop – afternoon session
15.30 Depart Ely
Cost per person: £60.00 (excluding cost of lunch)
EAOGS SOCIETY DINNER DRESS CODE: Lounge Suit
The dinner will be held in the beautiful setting of Bourn Hall, a magnificent Jacobean building.
Cost per person will be £50.00.
7.30pm Drinks & Canapés
8.00pm Dinner
10.30pm Carriages
· I will / will not** be attending the dinner (** please delete as appropriate)
· Accompanying person will / will not** be attending the dinner (** please delete as appropriate)
ANY DIETARY REQUIREMENTS OR ALLERGIES? / SELF:
ACCOMPANYING PERSON:
PAYMENT FOR DINNER / Please ensure payment is made by 14th April 2017, via bank transfer:
BANK: Barclays Bank PLC
SORT CODE: 20-17-35
ACCOUNT NUMBER: 40553980
REFERENCE: EAOGS
OVERNIGHT ACCOMMODATION
REQUIREMENTS: / For anyone wishing to book overnight accommodation, the nearest accommodation to Bourn Hall is:
·  MADINGLEY HALL, MADINGLEY
http://madingleyhall.co.uk/accommodation
·  THE CAMBRIDGE BELFRY HOTEL, CAMBOURNE
https://www.qhotels.co.uk/make-a-booking/?hotel=QH00016

RSVP: Please complete this form and return to:

Pat Mansfield

Bourn Hall

Bourn

Cambridge. CB23 2TN

Email:

Tel: 01954 717217 (direct) 01954 719111 (switchboard)

BY 7TH APRIL AT THE VERY LATEST