Home About Us BCLA News Newsletter Why join the BCLA? Annual Reports                                             2009                                             2008                                             2007 Fellowship Clinical Conference Courses & Meetings CET credits Journal Contact Lens Information Media Contacts BCLA Awards Research Ethics Committee Students Virtual Lectures Downloads & Links Manufacturer Links Contact Lens Update Annual Reports 2009 Keith Clifford Hall Library Search Site Contact Disclaimer Branded Care Solutions	CLICK HERE TO REGISTER AS A MEMBER IF YOU ARE NOT YET A MEMBER   If you would like to take up Johnson & Johnson Vision Care’s offer of paying 50% of your full delegate package and you think you are eligible**, please fill in the form below. The BCLA office will verify your details before payment is processed and will send you a confirmation email. DELEGATE DETAILS   * Title [Select] Mrs Miss Dr Sir Ms Prof Rev Mr Lady Senor   * FirstName   * Surname     GOC Number       GMC Number   * Year qualified   * Job Title [Select] Hospital doctor Ophthalmologist Optometrist Dispensing optician Technician Pre-reg optometrist Student Other *  Workplace [Select] Independent Multiple Locum Hospital Teaching Research Industry Other     Company/Institution   * Address 1     Address 2     Address 3   * City   * County [Select] Aberdeenshire Alberta Anglesey Angus Argyll Arizona Attica Avon Ayrshire Banffshire Bath & North East Somerset Bedfordshire Berkshire Berwickshire Buckinghamshire Bucks Caithness California Cambridgeshire Carmarthenshire Ceredigion Channel Islands Cheras Cheshire Cleveland Clwyd Co Antrim Co Clare Co Cork Co Derry Co Donegal Co Down Co Durham Co Fermanagh Co Galway Co Kildare Co Londonderry Co Mayo Co Meath Co Tyrone Co Wexford Co. Down Conwy Cornwall County Antrim County Armagh County Clare County Down County Fermanagh County Wexford County Wicklow Cumbria Denbighshire Derbyshire Devon Donegal Dorset Down Dumfriesshire Dunbartonshire Durham East Lothian East Sussex East Yorkshire Edo State Enugu State Essex Fife Flintshire Florida Galway Georgia Glamorgan Gloucestershire Greater Manchester Guernsey Gwent Gwynedd Hampshire Hants Hawaii Herefordshire Hertfordshire Hong Kong Honolulu Illinois Indiana Inverness-Shire Isle Of Arran Isle Of Bute Isle of Man Isle Of Shetland Isle of Wight Jersey Jersey C.I. Johor Kent King Lanarkshire Lancashire Leicestershire Lincolnshire London Londonderry Maharashtra Malaysia Manchester Maryland Merseyside Mid Glamorgan Middlesex Mid-Glamorgan Mid-Lothian Minnesota Missouri Monmouthshire Morayshire N E Lincolnshire N E Somerset N Lincolnshire N Somerset Natal New Hampshire New South Wales New York Norfolk North Carolina North Humberside North Lanarkshire North Somerset North Tyneside North Yorkshire Northamptonshire Northumberland Nottinghamshire NSW NSW 2052 Australia NSW 1466 NSW 2113 Ohio Ontario Oxfordshire Pembrokeshire Penang Pennsylvania Perthshire Pitea Kommun Powys Quebec Queensland Randberg Rhonnda Cynon Taf Ross-Shire Rutland Shetland Shropshire Somerset Somerset & Avon South Ayrshire South Glamorgan South Humberside South Wales South Yorkshire Staff Staffordshire Stirlingshire Strathclyde Suffolk Surrey Sussex Swansea Tasmania Tayside Texas Trinidad & Tobago Tyne And Wear Vale of Glamorgan Valencia Victoria W Midlands W Yorkshire Warwickshire Waterford West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Western Cape Whangarei Wigtownshire Wiltshire Wirral Worcestershire Yorkshire     * Postcode   * Country [Select] Afghanistan Albania Algeria Andorra Angola Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Borneo Bosnia-Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burma (Myanma) Burundi Cambodia Cameroon Cameroun Canada Canary Isles Cape Verde Cayman Isles Central African Repu Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote d'ivoire-ivory coast Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt Eire El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holland Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Maderia Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Miscellaneous Moldova Monaco Mongolia Monserrat Montserrat Morocco Mozambique N Ireland Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Guinea New Hebrides New Zealand Nicaragua Niger Nigeria Norfolk Islands North Korea Northern Ireland Norway Oman Pakistan Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Kitts & Nevis Saint Lucia Saint Vincent, Grenadines San Marino Sao Tome And Princip Saudi Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South America South Korea Spain Sri Lanka St Helena St Kitts St Lucia St Vincent Sudan Surinam Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Tibet Togo Tokelau And Niue Isl Tonga Trinidad Trinidad and Tobago Tunisia Turkey Turkmenistan Turks & Caicos Isles Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Wallis and Futuna Is West Africa West Indies Western Samoa Yemen Arab Republic Yugoslavia Zaire Zambia Zimbabwe Zulu * Main contact no   Mobile no   * E-mail   REGISTRATION   Up to 12th March Full delegate fee – BCLA member £175.00 (50% of total fee) Full delegate fee – Non-member £225.00 (50% of total fee)   Total : £175 GALA DINNER TICKETS There is NO gala dinner ticket included in the delegate package. I require tickets @ £75 each   Total : £0 CLINICAL WORKSHOPS AND PRESENTATIONS Clinical workshops/presentations are available for conference delegates only. Please refer to the schedule on the website, when selecting your sessions. Each clinical workshop/presentation costs £30 Reference Reference Reference CW1 CW5 CP9 CW2 CW6 CP10 CW3 CW7 CP11 CW4 CP8 CP12 Total : £0   Grand Total : £175   Dietary Requirements: Your name and address may be passed to BCLA Conference Exhibitors to enable them to supply you with information about their products and services. Please tick the box if you do not wish to receive such information. PAYMENT DETAILS * Card type [Select] Visa Mastercard Maestro/debit card American Express * Cardholder’s name * Card number   * Expiry date mm 01 02 03 04 05 06 07 08 09 10 11 12   yy 09 10 11 12 13 14 15 16 17 18 19 20     Valid from mm 01 02 03 04 05 06 07 08 09 10 11 12 yy 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 * Security code Card statement address if same from the one already supplied * Address1   Address2 * City       County [Select] Aberdeenshire Alberta Anglesey Angus Argyll Arizona Attica Avon Ayrshire Banffshire Bath & North East Somerset Bedfordshire Berkshire Berwickshire Buckinghamshire Bucks Caithness California Cambridgeshire Carmarthenshire Ceredigion Channel Islands Cheras Cheshire Cleveland Clwyd Co Antrim Co Clare Co Cork Co Derry Co Donegal Co Down Co Durham Co Fermanagh Co Galway Co Kildare Co Londonderry Co Mayo Co Meath Co Tyrone Co Wexford Co. Down Conwy Cornwall County Antrim County Armagh County Clare County Down County Fermanagh County Wexford County Wicklow Cumbria Denbighshire Derbyshire Devon Donegal Dorset Down Dumfriesshire Dunbartonshire Durham East Lothian East Sussex East Yorkshire Edo State Enugu State Essex Fife Flintshire Florida Galway Georgia Glamorgan Gloucestershire Greater Manchester Guernsey Gwent Gwynedd Hampshire Hants Hawaii Herefordshire Hertfordshire Hong Kong Honolulu Illinois Indiana Inverness-Shire Isle Of Arran Isle Of Bute Isle of Man Isle Of Shetland Isle of Wight Jersey Jersey C.I. Johor Kent King Lanarkshire Lancashire Leicestershire Lincolnshire London Londonderry Maharashtra Malaysia Manchester Maryland Merseyside Mid Glamorgan Middlesex Mid-Glamorgan Mid-Lothian Minnesota Missouri Monmouthshire Morayshire N E Lincolnshire N E Somerset N Lincolnshire N Somerset Natal New Hampshire New South Wales New York Norfolk North Carolina North Humberside North Lanarkshire North Somerset North Tyneside North Yorkshire Northamptonshire Northumberland Nottinghamshire NSW NSW 2052 Australia NSW 1466 NSW 2113 Ohio Ontario Oxfordshire Pembrokeshire Penang Pennsylvania Perthshire Pitea Kommun Powys Quebec Queensland Randberg Rhonnda Cynon Taf Ross-Shire Rutland Shetland Shropshire Somerset Somerset & Avon South Ayrshire South Glamorgan South Humberside South Wales South Yorkshire Staff Staffordshire Stirlingshire Strathclyde Suffolk Surrey Sussex Swansea Tasmania Tayside Texas Trinidad & Tobago Tyne And Wear Vale of Glamorgan Valencia Victoria W Midlands W Yorkshire Warwickshire Waterford West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Western Cape Whangarei Wigtownshire Wiltshire Wirral Worcestershire Yorkshire * Postcode   * Country [Select] Afghanistan Albania Algeria Andorra Angola Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Borneo Bosnia-Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burma (Myanma) Burundi Cambodia Cameroon Cameroun Canada Canary Isles Cape Verde Cayman Isles Central African Repu Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote d'ivoire-ivory coast Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt Eire El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holland Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Maderia Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Miscellaneous Moldova Monaco Mongolia Monserrat Montserrat Morocco Mozambique N Ireland Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Guinea New Hebrides New Zealand Nicaragua Niger Nigeria Norfolk Islands North Korea Northern Ireland Norway Oman Pakistan Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Kitts & Nevis Saint Lucia Saint Vincent, Grenadines San Marino Sao Tome And Princip Saudi Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South America South Korea Spain Sri Lanka St Helena St Kitts St Lucia St Vincent Sudan Surinam Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Tibet Togo Tokelau And Niue Isl Tonga Trinidad Trinidad and Tobago Tunisia Turkey Turkmenistan Turks & Caicos Isles Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Wallis and Futuna Is West Africa West Indies Western Samoa Yemen Arab Republic Yugoslavia Zaire Zambia Zimbabwe Zulu * Mandatory fields (all mandatory fields need to be filled in before the form can be submitted) ** You are eligible if you are a UK or Irish resident, have registered with the GOC or GMC since 2000 and have never attended a BCLA conference. Only applicable for full delegate packages.Not open to students.Your booking is non-changeable, non-transferable and non-refundable.This offer will be withdrawn once 200 eligible delegates have been registered.
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