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Use this form to register up to two attendees for our Shard event. For questions or assistance, call: 01225 777 999

Title
First Name *
Surname *

Your role (eg Principal/Associate/etc) *

Company/Practice Name *

Address 1 *
City *
Post Code *

Email *

Mobile Number (so we can contact you about the event if required)

GDC Number *

Other attendee names

Dietary Requirements

How did you hear about this event? *

In order to run this event and ensure you have the best possible experience, we need to share your details with the partner companies who are presenting on the day. In registering for this event you indicate that you are happy for us to do this.