Conference 2021 Application

If other profession, please state
What is your professional membership body and your status (active or retired)?
Membership can also be paid for when subscribing to the conference. It will allow the attendee to join the AGM at the start of the conference and you will also receive further information after the conference, such as slides, lecture notes, etc. Fee schedules and further information are available at
In completing this form I am happy for the secretary of the BLMA to contact me to set up the direct debit for membership of the BLMA.
I would like to attend the conference (the cost is the same whether attending in person or virtually)
All those attending via the internet will need to preregister their zoom name. This will be used to recognise and admit you at the time of the meeting. Please make a note of the name you choose and ensure that you are identified as this on your zoom.
Costs per person:
Full Conference £50
Saturday only £35
Sunday only £25

Conference Dinner £25

Please pay by bank transfer to Lourdes Medical Association account number: 20590568. Sort Code: 20-84-13 adding your name as the reference
We would like you to get the most out of the meeting, so please let us know what you would like to be covered and any specific questions you would like to ask.
Do you have any dietary requirements for the lunches or the conference dinner?
If you are arriving on Friday, would you like to join the council for a light informal meal about 8pm

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