EQUINE SPORTS MASSAGE ASSOCIATION CONFERENCE 2014 PROFESSOR JEAN-MARIE DENOIX DVM, PhD, agrege On Thursday 15th and Friday 16th May 2014 1 APPLICATION FORM PER PERSON NAME EMAIL TELEPHONE NUMBER MOBILE ADDRESS !! !POSTCODE PROFESSION ACCREDITATIONS MEMBER OF GOVERNING BODIES (e.g. ESMA, RCVS etc) DIETARY REQUIREMENTS ! TICKETS COST NON MEMBER from 1st October 2013 2 days £335 NON MEMBER from 1st October 2013 1 day Thurs £310 Fri EVENING MEAL (Make choices on form beyond menu) CLOSING DATE: 10TH APRIL 2014 £310 £45 ! TOTAL: ! NB: IN THE EVENT OF OVER-SUBSCRIPTION ACCEPTANCE WILL BE IN CHRONOLOGICAL ORDER OF RECEIPT OF YOUR APPLICATION TICKETS NON-REFUNDABLE !Please make cheques payable to EQUINE SPORTS MASSAGE ASSOCIATION LTD and post to: EQUINE SPORTS MASSAGE ASSOCIATION CONFERENCE 2014 Kirsty Davis, Lower Cwmgilla, Cwmgilla Lane, Knighton, Powys LD7 1PG Tel: 07885 370346 !OR: BACS transfer with ref ESMA 2014 and your name to: EQUINE SPORTS MASSAGE ASSOC LTD Sort code: 30-92-06 Account number: 01493742 And email Application form to: Email: [email protected] !Your Confirmation and other information will be emailed, please send SAE if you require by post ! ! ! ! Menu at Tattersalls 15th May 2014 For EQUINE SPORTS MASSAGE ASSOCIATION CONFERENCE 2014 Equine Sports Massage Association ! ! ! Starters ! Mosaic vegetable terrine with textures of tomato ! Assiette of crab and crayfish with caper and shallot relish ! Corn fed chicken and leek Ballantine with fennel and orange dressing *** Main Course ! Shoulder of lamb, crispy Rosemary Pancetta with textures of carrots ! Pavé of salmon pea and baby gem fricassee with glazed Château potatoes ! Artichoke, caramelised red onion tarte-tatin with warm beetroot salad *** Desserts ! Cocoa marriage double chocolate brownie, milk chocolate brûlée, dark chocolate mousse ! Trio of lemon tangy lemon tart, lemon posset and lemon meringue ! Apple and plum crumble with a crunchy hazelnut topping and vanilla custard ! *** Freshly brewed coffee, tea and infusions served with homemade fudge (Served at the table or from an after dinner coffee station) EQUINE SPORTS MASSAGE ASSOCIATION CONFERENCE 2014 ! *** Domaine de Saissac Cabernet Sauvignon, VdP d’Oc, France 2008 Concentrated and balanced with delicate, cedar-spice notes ! Domaine les Escasses, VdP des Côtes de Gascogne 2009 Crisp, bright and fruity - an easy drinking dry white wine ! We can also cater for specific dietary requirements. ! EVENING MENU CHOICES ! NAME ! ! ! ! STARTER ! MAIN DESSERT Veg terrine Lamb Cocoa Crab Salmon Lemon Chicken Artichoke Crumble ! SPECIFIC DIETARY REQUIREMENTS (chef to prepare) ! ! ! ! Please complete attached evening menu form and find all BACS details attached within for your information. Please ensure all is completed and returned together with registration and payment. Many Thanks