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?*
 
 
 
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?