ITP Support Association

www.itpsupport.org.uk

ITP Patient's Convention Booking

Please note. This is to reserve a place only. To avoid the large fees charged by banks for on-line payments, please make the correct payment via the donate page.

Ticket price includes lunch & refreshments, Members (and partners) £10, Non-members £15 each.

Your title
Your first name *
Your family name *
Address *
Address (additional)
Town
County or City *
Postcode *
Email address *
Daytime telephone
Second person
Third person
Fourth person

Please note, this booking will be forwarded to the ITP Support Association. The data you enter here will not be shared with any third party.

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