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Ann Conroy Trust CIO
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info@annconroytrust.org
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Is it Hereditary?
Support
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Stories
Get Involved
Donate
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Local Support Groups
Contact
Contact us
Useful Contacts
Home
About
About
History
Trustees & Officers
Patrons
Absent friends
Historical Figures
Mythology
News
Conditions
Information
Medical Terminology
UK Specialists
Health Professionals
Chiari, Syringomyelia & Pregnancy
Is it Hereditary?
Support
Research
Stories
Get Involved
Donate
Membership
Meetings
Submit Magazine Article
Local Support Groups
Contact
Contact us
Useful Contacts
Menu
Home
About
About
History
Trustees & Officers
Patrons
Absent friends
Historical Figures
Mythology
News
Conditions
Information
Medical Terminology
UK Specialists
Health Professionals
Chiari, Syringomyelia & Pregnancy
Is it Hereditary?
Support
Research
Stories
Get Involved
Donate
Membership
Meetings
Submit Magazine Article
Local Support Groups
Contact
Contact us
Useful Contacts
Annual Patient Meeting
to be held on
Saturday 30th September 2023
at
The Edgbaston Park Hotel, Birmingham, B15 2RS
Application to attend
Name
Existing member?
Yes
No
Address
Postcode
Email
Phone
Number of members
0
1 - (£15)
2 - (£30)
3 - (£45)
4 - (£60)
5 - (£75)
6 - (£90)
7 - (£105)
8 - (£120)
Number of member guests
0
1 - (£15)
2 - (£30)
3 - (£45)
Number of non-members
0
1 - (£30)
2 - (£60)
3 - (£90)
4 - (£120)
5 - (£150)
6 - (£180)
7 - (£210)
8 - (£240)
Full list of guest(s) names:
Payment method
Cheque
Bank Transfer
If you selected
Cheque...
Please make all cheques payable to "Ann Conroy Trust", and then send to:
The Gateway, 85-101
Sankey Street
Warrington, Cheshire
WA1 1SR
Ref: Autmeet
Please put your full name and postcode on the back of the cheque
If you selected
Bank Transfer...
Name:
Ann Conroy Trust
Account no:
00011969
Sort code:
40-52-40
Reference:
Your initials + postcode (eg. BL-SO185NG)
After submitting this form, you will receive an email confirming your selections, along with payment instructions. Please remember to:
- Check junk folder in your emails
- Make payment within 5 days
Signed
I understand that I may have to re-submit this form again if I do not send my payment within 5 days of submitting this form.
Submit