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Psychosis, trauma and dissociation new insights and new ... - ISPS-US

Psychosis, trauma and dissociation new insights and new ... - ISPS-US

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<strong>Psychosis</strong>, <strong>trauma</strong> <strong>and</strong> <strong>dissociation</strong>: <strong>new</strong> <strong>insights</strong> <strong>and</strong> <strong>new</strong> approachesTuesday 7 th December 2010Westleigh Conference Centre, Lea Road, Preston PR4 0RB.Application formEarly bird rate (payment received by 7 th October)Non‐members £80.00 <strong>ISPS</strong> UK member £55.00 St<strong>and</strong>ard rateNon‐members £105.00 <strong>ISPS</strong> UK member £80.00 Service users <strong>and</strong> carers £30.00 (limited places only)A small number of free places are available for service users <strong>and</strong> carers – please contactadmin@ispsuk.org. As places are limited, please enquire early.To join <strong>ISPS</strong> UK <strong>and</strong> qualify for reduced rates, contact admin@ispsuk.orgTitle:______________ Name:_________________________________________________________Job Title: ______________________Organisation: ___________________________________Email address (please print clearly): ____________________________________________________Contact address: ______________________________________________________________Town: __________________________________________ Postcode__________________________Telephone (daytime): ________________________________________________________________Special dietary requirements: _________________________________________________________Access needs: _______________________________________________________________________Payment must be made at the time of booking by one of the following methods: cheque payable to <strong>ISPS</strong> UK bank transfer ‐ details on request credit card details:Card type: ………………………………..Start date: ………………………………..uName on card:……………………………Card number:………………………Expiry Date:………………………..3 digit security number:……………………..invoice: name/address for invoice if different from above……………………………………..……Please return to:Ali Haddock, Administrator, <strong>ISPS</strong> UK at admin@ispsuk.org<strong>ISPS</strong> UK, PO Box 7383, Bozeat, Wellingborough, Northants, NN8 9FB.Tel: 0845 166 4168

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