The details that you enter below will be used for 2017 Convention purposes only, including meeting documentation such as name tags and the delegate list.
Please use both upper and lower case when completing the form (for example, John instead of JOHN or john)
* = required field
Name as you would like it to appear on your name tag
These details will appear on your invoice as entered here. Please ensure you use the correct information as required by your organisation/affilliation.