The British HIV Association

Registration type

Type

Standard Registration

Community Registration

Scholarship Registration

Speaker Registration

Committee Registration

Personal Details

The following information will be used on your name badge at the conference.

Title

First Name(s)[*]

Family Name[*]

Institution Name[*]

Town / City

If you would like to use these details for correspondence, please click here

Correspondence Details

Title

First Name(s)[*]

Family Name[*]

Organisation Name[*]

Position[*]

Department[*]

Address Line 1[*]

Address Line 2

Address Line 3

Town / City[*]

County

Postcode[*]

Country[*]

Telephone[*]

Fax

Email[*]

Special Requirements

Vegetarian

Other Special Dietary Requirements

Do you require any special assistance?

BHIVA Membership

Are you a BHIVA member [or currently applying for membership]

If yes, please tell us your membership number

CHIVA Membership

Are you a CHIVA member [or currently applying for membership]

If yes, please tell us your membership number

Scholarship category

Additional informationPlease provide additional information regarding your current status which will help us to validate your scholarship application.

Section A

BHIVA Autumn Conference, 9-10 October 2008

Registration fee includes:

I will attend the BHIVA Autumn Conference, 9-10 October 2008

These rates are only valid up to 29th August 2008. After this date a higher fee will be applicable.

	Discounted Rates for BHIVA Members	Rates for non-BHIVA members^
Non-consultant	185	245
Consultant	240	300
Industry*	410	410
^ Non-BHIVA members may register for the conference at the reduced rate applying to BHIVA members if their registration form is submitted at the same time as a BHIVA membership form and the appropriate payment is made. You can complete an application online, or download a PDF application form. * All registrants from industry must pay full industry rates even if they are BHIVA members.

I will attend the BHIVA Drinks Reception, 18.30 - 19.30 Thursday 9th October 2008 [Free of charge]

Subtotal [£]

Section B

Lunchtime Workshops

Places are limited: please only register if you definitely intend to attend the workshop.

Registration includes:

Lunchtime Workshop 1: Blamestorming - whose fault is it anyway?: Learning from past mistakes [Free of charge]13.00 - 14.00, Thursday 9th October 2008

Lunchtime Workshop 2: Understanding hepatitis diagnostics [Free of charge]13.00 - 13.45, Friday 10th October 2008

Section C

Joint BHIVA/BASHH Ordinary General Meeting, 10th October 2008

Registration includes:

I will attend the BHIVA/BASSH OGM, 17.30 - 19.00 Friday 10th October 2008 [free of charge]

I will attend the BHIVA/BASSH Drinks Reception, 19.00 - 19.45 Friday 10th October 2008 [free of charge]

Section D

Children's HIV Association Parallel Sessions, 10th October 2008

If you are registerered under Section A, you do not need to pay the registration fees below. However, please indicate if you would like to attend these sessions and/or the CHIVA Dinner (£20 fee applicable for all delegates).

Registration fee includes:

I will attend the CHIVA Parallel Sessions on 10th October 2008

These rates are only valid up to 29th August 2008. After this date a higher fee will be applicable.

	Discounted Rates for CHIVA/BHIVA Members	Rates for non-CHIVA/non-BHIVA members^
Non-consultant	90	110
Consultant	120	140
Industry*	240	240
^ Non-CHIVA members / non-BHIVA may register for the conference at the reduced rate applying to CHIVA/BHIVA members if their registration form is submitted at the same time as a CHIVA/BHIVA membership form and the appropriate payment is made. You can complete an application online, or download a PDF application form. * All registrants from industry must pay full industry rates even if they are CHIVA/BHIVA members.

I will attend the CHIVA dinner, 19.00, Friday 10th October 2008