BOTDS 22/23 DermSoc Members Registration

Your Personal Details

First Name (required)

Last Name (required)

Your Email Address (required)

Name of the DermSoc you belong to (required)

Position within DermSoc (required)

Number of society members taking part in BOTDS 22/23 (required)

Society Member Details

Name of society member 1 (required)

Email address of society member 1 (required)

Name of society member 2 (required)

Email address of society member 2 (required)

Name of society member 3 (required)

Email address of society member 3 (required)

Name of society member 4 (required)

Email address of society member 4 (required)

Name of society member 5 (required)

Email address of society member 5 (required)

Name of society member 6

Email address of society member 6

Name of society member 7

Email address of society member 7

Name of society member 8

Email address of society member 8

Name of society member 9

Email address of society member 9

Name of society member 10

Email address of society member 10

Name of society member 11

Email address of society member 11

Name of society member 12

Email address of society member 12

Name of society member 12

Email address of society member 12

Name of society member 13

Email address of society member 13

Name of society member 14

Email address of society member 14

Name of society member 15

Email address of society member 15