To book a place onto any of the
regional events
, please fill in the form below:
Booker information
HTA Member
Yes
No
First Name
*
Last Name
*
Company Name
*
Postcode
Telephone
*
Email
*
Please select the regional event that you would like to attend:
Which regional event would you like to attend?
*
In Person
Online via Zoom Link
Our Regional Member Events have limited capacity, please select how many delegates will be attending from your company
Number of Delegates
*
Delegate Name
*
Delegate Email
*
Any dietary or access requirements?
*
Delegate Name
Delegate Email
Any dietary or access requirements?
Delegate Name
Delegate Email
Any dietary or access requirements?
Delegate Name
Delegate Email
Any dietary or access requirements?
Delegate Name
Delegate Email
Any dietary or access requirements?