Title Forename Surname Job Title Organisation Address Contact No Work Mobile No Email address Work Authorising Manager Invoicing Details ID: 555700
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Delegate Details TitleForenameSurname Job Title Organisation Address
Contact No (Work) Mobile No. Email address (Work)
Authorising Manager / Invoicing Details TitleForename 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 011382-54642juliemulvey@nhs.net craig.starmer@nhs.net
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 £250.00By 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 NetworksNHS QuaysideWilderspool CausewayGreenalls AvenueStockton HeathWA4 6HL
Cheques should be made payable to:GBS RE NHS COMMISSIONING BOARDPlease mark reverse of Cheque with delegate name to reduce any delay in processing.
3+1+1 ECG Interpretation
Liverpool
Medical Institute, L3
5SR26th – 28th January ‘15 | 4th March ‘15 | 26th March ‘15