I am a        Select One GSD Member Non Member

Full Name

Address     

Email         

My contact telephone number    Please indicate if text and/or Typetalk is needed.

(GSD Members Only) I will be willing to help with the Conference

(GSD Members Only) I need a bursary to assist with Conference costs

Employer / Organisation Name

Invoice Address (if different from above)

My access needs Please state any particular access or dietary needs you have (we will aim to meet any reasonable adjustments needed)

Please tick against the events you will be attending:

GSD Conference:

I will be attending the Friday session (£65 GSD Members / £195 Non-Members)

I will be attending the Saturday session (£65 GSD Members / £130 Non-Members)

I will be attending the Dinner (£45 GSD Members / £95 Non-Members)

I will be attending the Dinner with a guest (£90 GSD Members / £190 Non-Members)

I will be attending the Full Conference (£160 GSD Members / £390 Non-Members)

I will be attending the Full Conference with a dinner guest (£205 GSD Members / £485 Non-Members)

My dinner guest's name:    

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Please click the button below to submit this information to the GSD Admin Team. You can either pay online with a credit or debit card through PayPal or send a cheque made payable to "GSD" to GSD Admin Team, Equal Ability CIC, Amco House, Cedar Court Office Park, Denby Dale Road, Wakefield, WF4 3BA. We can also invoice your employer.

I wish to pay by cheque or Credit/Debit card or Invoice my Employer (please tick one) After pressing the submit button you will have the opportunity to make a secure credit/debit card payment to our PayPal account.