2011 Annual General Meeting registration form
  1. Welcome to the 2011 Gay Doctors Ireland AGM registration page. The AGM will take place at the Radisson Blu Royal Hotel, Golden Lane, Dublin, at 2pm on Saturday 19th November 2011. Registration is from 1pm to 2pm. Please enter your details below. Required items are marked with an asterisk (*).
  2. Name:(*)
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  3. Email:(*)
    Please enter a valid email address
  4. Contact number:
    Please use numbers only, e.g. 00353871234567
  5. Number of guests:(*)
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  6. Occupation:







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  7. Location (town/hospital/university):
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  8. Where did you hear about the AGM?
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  9. Complete registration