Fourth Annual National Conference Registration 2011 Please register your details here. If you are making a payment for any of the conference events, you will be taken to PayPal where your payment will be received securely. Name*FirstLastEmail*PhoneGenetic Family Meeting - Friday 14th October, 2011 Genetic Family Meeting*012345678910How many people would you like to regiser? This meeting is for family members affected by familial prion disease or families needing more information. (free of charge)Conference - Saturday 15th October, 2011Conference attendance - CJD Family members and people at risk*012345678910How many people are you registering? (free of charge)Conference attendance - Health care professionals and others*012345678910How many people are you registering? ($30 per head)Conference Dinner - 7pm*012345678910How many people would you like to register for the conference dinner? ($60 per head)Dietry RequirementsDo you have any dietary requirements for the Conference Dinner?Total$ 0.00