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 17th October 2014 College of Occupational Therapy, 106-114 Borough High Street London

COTSS-PLD members £80 Non members £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 17h 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.