Please provide a separate email address for each entry if you are filling in the form on behalf of someone else.
Name of person you would like to share a room with (if any)*
*This is if you would like shared accommodation provided by ATAS for the duration of the event. For single room bookings you will need to source and fund these yourself. Please note, we will endeavour to honour the request for a room share. To ensure we can give you the best chance please ensure that this delegate is staying the same nights as yourself.
Company name of delegate above
Email address of delegate above
Emergency contact first name
Emergency contact last name
Emergency contact phone number
Emergency contact relationship to you