COTSSPLD Conference Application form 2014

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Transcript COTSSPLD Conference Application form 2014

Changing Practice – Supporting People with Learning Disabilities through Extended Practice. New and innovative roles for OT’s.

COTSSPLD Annual Conference 17 th October 2014 College of Occupational Therapy, 106-114 Borough High Street London COTSS-PLD members Non members £80 £95 (includes 1 years membership to COTSS-PLD) Students £70

Application Form Working together – Supporting people with Learning Disabilities through extended practice

COTSSPLD annual conference 17 h October 2014 Name Address Contact e-mail address Contact phone number Place of work I am a COTSS-PLD member I am a presenter I am a student I am a non-member BAOT number: Please note that free membership can only be given to BAOT members.

Payment Methods: INTERNET OR TELEPHONE BANKING:

please contact your bank and quote COTSSPLD bank account number

31202928

and sort code

40-05-19

and use

COTSSPLD

and your

full name

as a reference

CHEQUE:

made payable to

College of Occupational Therapists Ltd

posted to: Tina Bang Anderson ( Clinical Specialist Occupational Therapist) COTSSPLD Administrator

South London and Maudsley NHS Foundation Trust

National & Specialist CAMHS Service for Complex Autism and Associated Neurodevelopmental Disorders (SCAAND) | Michael Rutter Centre | Maudsley Hospital | London | SE5 8AZ

Please note, we can not send invoices.