SOM Scottish Group Autumn Meeting and AGM “Neurodiversity and Work”

Registration Details (Confirm Dinner)

First Name *

Last Name *

Email *

Phone

Profession *

Will you be attending the dinner? *

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Dietary Requirements *

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Comms Opt-In *

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If you have a discount code, enter it here

Event Fee(s) *

Event Fee - £ 125.00

Total

Billing Name and Address

Billing First Name *

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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