Complete and submit this form to register

Name:
Allotment Site or Organisation:
Position:
email:
Postal Address:
Street:
Town:
Post Code:
Any dietary or mobility needs?
Please tick if you do not want us to keep your name and email so as to tell you about next year's conference:
Note: Attendance at the conference is free but a donation of 10 for lunch and coffee would be appreciated. Please let us know on the day if you require a receipt for this.