Quarterly Meeting - 22nd Jan 2014

I/We will be attending The Quarterly Meeting on 22nd January 2014 at at The London Lighthouse, 111-117 Lancaster Road,London W11 1QT. The meeting will be from 1pm – 4pm

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* 1. Organisation/Individual Name

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* 2. Representatives:

I/We are members of the UK Consortium on AIDS and International Developent.

We are not currently members. Please contact us about joining the Consortium.

Email address for main contact

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* 3. Representative 1

Name

Telephone

Any Support needs (e.g. large print papers; hearing loop; wheelchair access etc)

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* 4. Representative 2

Name

Telephone

Any Support needs (e.g. large print papers; hearing loop; wheelchair access etc)

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* 5. Representative 3

Name

Telephone

Any Support needs (e.g. large print papers; hearing loop; wheelchair access etc)

If you wish to send more than 3 representatives please complete additional form(s)