2010 Registration is open

THE BRIAN HARCOURT MEMORIAL FUND MEETING WILL BE HELD ON TUESDAY 23^rd NOVEMBER 2010

REGISTRATION FORM

Dear Colleague

This year’s Brian Harcourt Meeting will be based on the following topic:

“What Can We All Learn from Paediatric Neuro-Ophthalmology?”

This will be a meeting that should be of interest to all general ophthalmologists, orthoptists and paediatric neurologists. The themes of vision, eye movements and neurology will be kept fairly applicable to all with some indulgent lapses of over-specialisation. Full programme will be at www.brianharcourt.org

There are approximately 120 places available for this meeting and payment by cheque will ultimately secure your place. It is possible that this meeting may be over-subscribed, so please book your place as soon as possible by sending your payment to: Mr Long’s Secretary -Donna Ible

Department of Ophthalmology

2^nd Floor, Chancellor’s Wing

St James’s University Hospital

Beckett Street

Leeds

LS9 7TF

Meeting Fee: Consultants £80.00 All other attendees £60.00

Please make all cheques payable to: “The Brian Harcourt Memorial Fund”.

Name …Mr/Miss/Mrs/Dr…………………….

Institution: I am: Consultant/ trainee/ Allied profession

Address for correspondence

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I enclose my cheque for £

Signed ……………………………….. Date …………………………

For further information, please do not hesitate to contact: Donna Ible

Tel: 0113 2066663

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