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Malayali Medical Association,UK 19 – 21 July 2013 Annual mega meeting – Registration Surname………………………………………First Name……......…………………………………… Address………………………………................................................................................................ ........................................................Home Tel .......................................Mobile ......................................... E mail (essential)……………....................................................................................................................... Registration fees Friday and Saturday Saturday only Adult: per person £65.00 £50.00 Children: (6yrs to 18* yrs) per child £35.00 £30.00 Children up to 5 years : No fee payable. In the interest of seating/ catering, please enter the number of the children as above. All children are allowed to sit with their parents in the hall. *To encourage more teenagers to attend, we have reduced the fees for 15-18 year olds. Fully paid (£50.00) members will receive a refund at the registration desk as per the AGM resolution A I will attend the Evening on Friday 19 th and Saturday 20th July 2013 Number of adults………....... Children up to 5 yrs…….......... 6 to 15 yrs …….................... B I will only attend the programme on Saturday 20 th July 2013 10.00 am onwards. Number of adults....……… Children up to 5 yrs. ……. 6 yrs to 18 yrs. …....................... Number of: Vegetarians ……… Non Vegetarians …………. TOTAL AMOUNT PAYABLE = £ .00 Registration by Post : To be submitted to the treasurer, Dr OJ Paulson, 15 Highveer Croft, Tattenhoe, Milton Keynes, MK4 3BN. Please enclose a cheque, number ---------------- for £………….. payable to ‘MMAUK’ Registration with online transfer : Please fill this registration form and send it as an email attachment to [email protected] and transfer the total amount by online bank transfer. Account number: 32042368 Sort code: 30-94-44 Account name: MMAUK Ref: MMA meeting 2013 VENUE: DAVENTRY COURT HOTEL, DAVENTRY. (Please see the discounted accommodation details) The treasurer will acknowledge the receipt of payment by e-mail only. P T O 1

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Page 1: MMA Registration Form

Malayali Medical Association,UK 19 – 21 July 2013 Annual mega meeting – Registration

Surname………………………………………First Name……......……………………………………

Address………………………………................................................................................................ ........................................................Home Tel .......................................Mobile .........................................

E mail (essential)…………….......................................................................................................................

Registration fees

Friday and Saturday Saturday only Adult: per person £65.00 £50.00Children: (6yrs to 18* yrs) per child £35.00 £30.00

Children up to 5 years : No fee payable. In the interest of seating/ catering, please enter the number of the children as above. All children are allowed to sit with their parents in the hall.*To encourage more teenagers to attend, we have reduced the fees for 15-18 year olds.

Fully paid (£50.00) members will receive a refund at the registration desk as per the AGM resolution

A I will attend the Evening on Friday 19th and Saturday 20th July 2013

Number of adults………....... Children up to 5 yrs…….......... 6 to 15 yrs ……....................

B I will only attend the programme on Saturday 20th July 2013 10.00 am onwards. Number of adults....……… Children up to 5 yrs. ……. 6 yrs to 18 yrs. ….......................

Number of: Vegetarians ……… Non Vegetarians ………….

TOTAL AMOUNT PAYABLE = £ .00

Registration by Post: To be submitted to the treasurer, Dr OJ Paulson, 15 Highveer Croft, Tattenhoe, Milton Keynes, MK4 3BN.

Please enclose a cheque, number ---------------- for £………….. payable to ‘MMAUK’

Registration with online transfer: Please fill this registration form and send it as an email attachment to [email protected] and transfer the total amount by online bank transfer. Account number: 32042368 Sort code: 30-94-44 Account name: MMAUK Ref: MMA meeting 2013VENUE: DAVENTRY COURT HOTEL, DAVENTRY. (Please see the discounted accommodation details)T h e t r e a s u r e r w i l l a c k n o w l e d g e t h e r e c e i p t o f p a y m e n t b y e - m a i l only. P T O

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Page 2: MMA Registration Form

Centrally located in Daventry, 4 star Daventry Court Hotel is perfectly located for holidays and short breaks in Northamptonshire. Ideally situated just off junction 18 of the M1 and close to the M40, this hotel in Daventry is just 12 miles from Rugby, and only 20 miles from Northampton. With state of the art conference facilities, Daventry Court Hotel is the ideal venue for meetings, conferences and events in Northamptonshire.This Daventry Northampton hotel boasts 155 modern and spacious bedrooms including 23 premium rooms. Dine in the contemporary FUEL restaurant, or enjoy a drink in the FUEL bar which is ideal for social gatherings or simply relaxing with a coffee. Open to hotel guests and local members alike, the Health Club at Daventry Court Hotel offers a range of facilities including an indoor swimming pool, sauna, spa pool, steam room and fully equipped fitness suite. Daventry Court Hotel is spacious and modern and offers a great location for exploring Northamptonshire and the surrounding area.

We were able to get the rates less than that of 2008! If taken Friday and Saturday together pay only half price for the first day!! Once this offer is over these rates cannot be guaranteed.

To benefit form this deal, please book your accommodation early, before 18th JUNE.Please refer to the room charges as follows;

ACCOMMODATION RATES – SATURDAY NIGHT ONLY:**

£65.00 BED & BREAKFAST, SINGLE OCCUPANCY£75.00 BED & BREAKFAST, DOUBLE / TWIN OCCUPANCY£112.50 BED & BREAKFAST, FAMILY ROOM – 2 ROOMS INTERCONNECTING £75.00 BED & BREAKFAST, FAMILY ROOM – 1 ROOM, 2 DOUBLE BEDS ** £6.50 CHILD BREAKFAST PER CHILD AGED 5-15 YEARS SHARING A FAMILY ROOM with 2 double beds

ACCOMMODATION RATES – FRIDAY & SATURDAY, 2 NIGHT STAY: **

£97.50 BED & BREAKFAST, SINGLE OCCUPANCY£112.50 BED & BREAKFAST, DOUBLE / TWIN OCCUPANCY£168.75 BED & BREAKFAST, FAMILY ROOM – 2 ROOMS INTERCONNECTING £112.50 BED & BREAKFAST, FAMILY ROOM – 1 ROOM, 2 DOUBLE BEDS * * £6.50 CHILD BREAKFAST PER DHILD PER NIGHT AGED 5-15 YEARS SHARING A FAMILY ROOM  with 2 double beds

It is better to ring the hotel directly at 0800 652 8413 (Central reservations) or at the Hotel 01327307000 or and quote MMAUK.    

**These rates are not guaranteed after 18h of June.For details please visit .. www.mmauk.comor contact - [email protected]

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Daventry Court Hotel (Previously known as Barcelo Daventry hotel)Sedgemoor Way, Daventry, Northamptonshire, NN11 0SG Tel: 01327307000