for further information or queries please contact:

1
Delegate Details Title Forenam e Surname Job Title Organisat ion Address Contact No (Work) Mobile No. Email address (Work) Authorising Manager / Invoicing Details Title Forenam e Surname Job Title Organisat ion 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-Ordinator Cheshire and Merseyside Strategic Clinical Networks NHS Quayside Wilderspool Causeway Greenalls Avenue Stockton 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 Interpretation Liverpool Medical Institute, L3 5SR 26 th – 28 th January ‘15 | 4 th March ‘15 | 26 th March ‘15

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3+1+1 ECG Interpretation Liverpool Medical Institute, L3 5SR 26 th – 28 th January ‘15 | 4 th March ‘15 | 26 th March ‘15. There will be a non-refundable £50.00 administration fee to attend this course. (£250 for non-NHS delegates) - PowerPoint PPT Presentation

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Page 1: For further information or queries please contact:

 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