Member Reg form

Home
AGM 2022
- Programme & Registration
Zoom Meetings
- Upcoming Meetings >
  - 9th Of June
- Previous Meetings
Contact

REGISTRATION FORM

IRISH HAEMOPHILIA SOCIETY
Virtual AGM & Conference 2021
March 1 - 4

The Irish Haemophilia Society is delighted to announce a Virtual AGM & Conference 2021, taking place March 1 – 4. The event is free to attend but you must register beforehand.

The conference is for adults only and please note that only paid up members can vote at the AGM, if there is a vote.

You can register by calling 01 6579900 or 087 2975430, by completing this registration form and returning it to us in the post, or by following the links on our social media platforms and website

REGISTRATION FORM

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Register For The Conference *

Yes No

Register For The AGM *

Yes No

Number of Places Required *

Days You Plan To Attend *

Monday Tuesday* Wednesday Thursday

Tuesday* parallel session option *

Theme: Comprehensive Care Theme: von Willebrand’s Disorder

Would You Like To Receive Our e-Zine Via Email? *

Yes No Already Signed Up

How would you like to recieve your confirmation letter & documents for the AGM (Audited accounts, minutes etc.)? *

Post Email

Submit

Irish Haemophilia Society

First Floor, Cathedral Court,
New Street,
D08 VH64

Tel: +353 (0)1 657 99 00

Home
AGM 2022
- Programme & Registration
Zoom Meetings
- Upcoming Meetings >
  - 9th Of June
- Previous Meetings
Contact

REGISTRATION FORM

IRISH HAEMOPHILIA SOCIETYVirtual AGM & Conference 2021March 1 - 4

REGISTRATION FORM

Irish Haemophilia Society

IRISH HAEMOPHILIA SOCIETY
Virtual AGM & Conference 2021
March 1 - 4