Delegate Details
Title Forename Surname
Job Title
Organisation
Address
Contact No (Work) Mobile No.
Email address (Work)
Authorising Manager / Invoicing Details
Title Forename Surname
Job Title
Organisation
Address
Contact No (Work) Mobile No.
Email address (Work)
For further information or queries please contact:Julie Mulvey 011382-52780 Craig Starmer 011382-54642
[email protected] [email protected]
There will be a non-refundable £50.00 administration fee to attend this course. (£250 for non-NHS delegates)
Authorisation from managers is required prior to booking and invoice details must be completed.All 5 days must be attended. Non–attendance will incur a delegate fee £250.00
By returning the completed form you agree to booking terms above.To book please complete & return with cheque to:
F.A.O. Events Co-OrdinatorCheshire and Merseyside Strategic Clinical Networks
NHS QuaysideWilderspool Causeway
Greenalls AvenueStockton Heath
WA4 6HL
Cheques should be made payable to:
GBS RE NHS COMMISSIONING BOARD
Please mark reverse of Cheque with delegate name to reduce any delay in processing.
3+1+1 ECG InterpretationLiverpool Medical Institute, L3 5SR26th – 28th January ‘15 | 4th March ‘15 | 26th March ‘15
