Conference Registration Form – SSBP

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Conference Registration Form

Register for SSBP 2024 in Bali, Indonesia

Earlybird Registration
Online Conference Registration and Payment

Earlybird Registration for SSBP 2024 is now OPEN

SSBP 2024 registrations and payments can be made securely online. All credit card transactions are carried out using the PayPal secure e-merchant facility, with all credit card details processed via secure SSL encryption. You do not need a PayPal account, although you may use one if you wish.

Earlybird Registration rates apply until 26 July 2024

Click here to view Registration Options.

1Registration Details

2SSBP Membership

3Choose Your Conference Package

Registrant Details

Registrant Full Name(Required)

First Name Last Name Title (Dr / Mr / Ms / Prof etc.)

Email(Required)

Phone

Please include international country code

Billing Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Additional Information

Delegates List(Required)

Do you give permission for your name, institution, country and email address to appear on the delegates list?

Consent to be contacted by SSBP(Required)

The SSBP will contact you with information relating to your registration and the 2024 SSBP conference.

We would also like to keep in touch and let you know about future SSBP conferences. If you consent to us storing your contact information, we will only use this to let you know about SSBP conferences - we never send marketing emails or pass your data on to third parties.

Do you give permission for the SSBP to contact you about future SSBP conferences?

What is your SSBP membership status?(Required)

* Must be a full time student enrolled in a degree/diploma course

Are you from a Low or Middle Income Country (LMIC) - as defined by the World Bank(Required)

* Low or Middle-Income Country according to the World Bank classifications.

Institution

Please enter N/A if institution not applicable

Department

Optional

Institution Address (If applicable)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

As a SSBP Student Member* you must nominate the following:

SSBP Student Members* - SSBP members who are full time students enrolled in a Diploma or Degree Course at a tertiary institution.

Name of Supervisor

Email of Supervisor

What degree you are enrolled for?

Conference Package Options

Choose Your Conference Package

SSBP Members Pricing - High Income Countries

Choose Your Conference Package

Student SSBP Members Pricing - High Income Countries

Choose Your Conference Package

Non-Member Pricing - High Income Countries

Choose Your Conference Package

SSBP Members Pricing - Low and Middle Income Countries (LMIC)

Choose Your Conference Package

Student SSBP Members Pricing - Low and Middle Income Countries (LMIC)

Choose Your Conference Package

Non-Member Pricing - Low and Middle Income Countries (LMIC)

Dietary and Access Requirements

Special Requirements

Do you have any special dietary or access requirements?

Please provide details below. We will do our best to accommodate special requirements as far as we are able. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Social Events

3-Day Package and Research Symposium Registrations entitle you to attend both the Welcome Reception and the Conference Dinner for no extra charge.

Educational Day Only registration entitles you to attend the Welcome Reception for no extra charge.

Will you be attending the Welcome Reception (5th Sep)(Required)

The Conference Dinner on 6th September will be combined with a trip to Uluwatu, one of the most historic temples in Bali. We will see a traditional Kecak Dance, and then go to Jimbaran Beach to have dinner together.

Will you be attending the Conference Dinner (6th Sep)(Required)

Invite Additional Guests

Do you want to invite additional guests to the Welcome Reception?

You are welcome to purchase additional guest tickets for the conference Welcome Reception (5th Sep) - guest tickets are £20, and must be bought in advance.

How many guest tickets do you require for the Welcome Reception on the 5th September?

Number of Additional Guest Tickets for Welcome Reception on 5th September

Do you want to invite additional guests to the Conference Dinner?

You are welcome to purchase additional guest tickets for the conference Conference Dinner - (6th Sep) guest tickets are £40, and must be bought in advance.

How many guest tickets do you require for the Conference Dinner on the 6th September?

Number of additional guest tickets for the Conference Dinner on 6th September (£40 per ticket)

Welcome Reception - Guest Information

Welcome Reception - Guest 1

First Name Last Name

Welcome Reception - Guest 2

First Name Last Name

Welcome Reception - Guest 3

First Name Last Name

Conference Dinner - Guest Information

Conference Dinner - Guest 1 Information

First Name Last Name

Conference Dinner - Guest 2 Information

First Name Last Name

Conference Dinner - Guest 3 Information

First Name Last Name

Guests Special Requirements

Do any of your guests have any special dietary or access requirements?

Please provide details below, including the name of the guest and the event they are attending. Please note, we cannot guarantee to accommodate any requirements that you do not declare at this time.

Conference Price Total

Total

2024 SSBP Conference

Membership

Information

Contact

The Society for the Study of Behavioural Phenotypes (SSBP)

The Society for the Study of Behavioural Phenotypes (SSBP) is an international, interdisciplinary research society for studying the development, learning and behaviours of individuals with genetic disorders and ways of helping to improve lives. The society is registered as a charity in the UK (No. 1013849) and was set up in 1987.

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