Date: 11th July 2018 Time: 5:30pm to 9:00pm Location: Hilton Hotel, Fosse Park Full Name: * Practice Name: * GOC Number (if applicable) Telephone Number * Email Address (for organisational purposes only) * Practice Address Occupation * Contact Lens Optician Optometrist Dispensing Optician Store Owner Director Other Dietary Requirements (leave blank if none) Leave this field blank