ABSTRACT SUBMISSION FORM

Name:____________________________

Title:___________

Address for correspondence_________________________________
_______________________________________________________
_______________________________________________________

Telephone______________________

Email__________________________

Job title________________________

Place of work____________________________________________
______________________________________________________

Professional /academic qualifications__________________________

Names of co-authors (if any)

1.______________________

2.______________________

Have you previously been a presenter at a major/national conference
(not including local audit meetings etc.)?
Yes/No

Please circle to indicate whether you wish the abstract to be considered for the:
prize papers session, poster presentation, or both:

I certify that I have made a substantial contribution to the work described in this abstract and that I am the principal author.
The work has not been previously published or presented
at a national meeting. I am available to present the paper/poster
at the conference if selected.

Signed_________________________________

Date______________________