Registration Form

N.A.P.P. Annual Conference 24th June 2017
Patients, Partnerships and Power
The Hampshire Court Hotel
1 Centre Dr, Chineham, Basingstoke, RG24 8FY
Booking Information and Registration Form
PLACES WILL BE ALLOCATED ON A FIRST COME FIRST SERVED BASIS.
The event is usually over-subscribed
Please register at the earliest opportunity.
As a membership organisation, it is important that N.A.P.P. provides as many member groups as
possible with the opportunity to attend the event. To meet this commitment, registration is initially
restricted to a maximum of two delegates per organisation. If more than two people wish to
attend, the first two named will be given firm bookings and others placed on a waiting list to be
informed of availability at least one week before the event.
To secure places, please complete the form on the next page and submit either by post to the
address below or as an email attachment to [email protected]

Payment by either cheque or bank transfer must be received by June 9th 2017.

Cheques should be made payable to N.A.P.P.

BACS payment details are at the foot of the registration form

Please note that all fees are inclusive of VAT.

If you wish to be invoiced for the event, you may email the completed form to
[email protected] .

We cannot give refunds after June 9th 2017.

Full details, including travel information and directions to the venue will be sent to you by email
or post two weeks before the event.

The website of the venue is www.qhotels.co.uk/our-locations/the-hampshire-court-hotel/

For more information about the National Association for Patient Participation, please visit
www.napp.org.uk

For queries regarding the conference, venue, travel directions, overnight accommodation or
other concerns, contact Edith Todd at [email protected] or call 01932 242350.
Registered Charity No 292157
Registered Charity Number 292157
The national voice for patient participation in primary care
www.napp.org.uk
Delegate Registration Form: N.A.P.P. Annual Conference 24th June 2017
Fees include 20% VAT.
Name of PPG or organisation
Patients
Practice staff
Package: One staff
and one patient
CCG staff
Fee
Member PPGs
£75.00
Non members
£100.00
Member PPGs
£150.00
Non members
£225.00
Member PPGs:
£200.00
Non members
£270.00
Member CCGs
£225.00
Non members
£275.00
Others
Number
Contact N.A.P.P.
Please enter delegate names
Delegate 1
Delegate 2
Please indicate below any other special needs that we should be made aware of
Disabled parking
Mobility
Hearing
Visual impairment
Other _______________________________________________________________________________________
Number of Vegetarian Meals
Other Dietary requirements (please specify below)
_____________________________________________________________________________________________________
______________________________________________________________________________________________________
Address for correspondence
Address for invoice (if different)
Postcode
Contact Telephone
Contact Telephone
Email
Email
I enclose a cheque for the total amount
Please invoice my organisation
£
Payment will be made by Bank transfer
Please provide a VAT receipt
Post (with payment) to Edith Todd, 19 Harvey Road, Walton on Thames, Surrey, KT12 2PZ.
Or email form to [email protected] and pay by BACS to N.A.P.P.
Branch Sort Code:
20-90-56
Bank Account No:
80187453
Queries: Call 01932 242350 or email [email protected]
Registered Charity No :292157
Registered Charity Number 292157
The national voice for patient participation in primary care
www.napp.org.uk