Registration form

Clinical Negligence Advanced 2025

Venue	Date	Please tick
	11 November 2025

Rate	Cost	Please tick
Corporate accredited firm	£255 + VAT
APIL member	£290 + VAT
Non-member	£435 + VAT

Name		APIL no.
Firm		Address
Email
Please note that acknowledgement letters and final instructions will now be sent by e-mail
Tel	Fax
Additional requirements (including dietary)
Please note that all dietary requirements can be catered for with prior notice, although if there is an additional charge for this by the venue or this has to be sourced externally, the charge will be passed onto the delegate

I enclose a cheque for

payable to APIL

Please charge my credit/debit card with the amount of

My card number is:

Name on card	Valid date	Expiry date
Address		Security code
	Signature
	Date

By registering for this event, you are confirming that you have accepted APIL’s terms and conditions which can be found at www.apil.org.uk/terms-and-conditions

Please return your completed form to: APIL, 3 Alder Court, Rennie Hogg Road, Nottingham, NG2 1RX
Tel: 0115 943 5400 | Fax: 0115 958 0885 | Email: [email protected]