Conference Registration for 19th MANSAG Autumn Conference & AGM

17th - 19th October 2008

Please use this form ONLY if you intend to PAY online.

If you wish to pay by cheque, please click here & print. PDF format.

First name *
Last name *
Title *
Phone number (Home)*
Phone number (Work)*
Mobile phone*
Address including post code *
Accompanying persons: Spouses Name: Children-First name & Surname & age (s) please*
Dietary Requirements

Vegetarian

  
Wheelchair Access

Accompanying Persons Programme at SEA LIFE CENTRE
Children (£9) Number required*
Adults (£10) Number required*
   
Canal trip (Number required)*
Golf 9 Holes (Number required)*
Occupation*
Email  *

*Mandatory. Please check all details and click on the "Submit" button.

ONLINE BOOKING CLOSED ON 16th OCTOBER 2009 @ 17.00HRS

NEW

Trainees:

Please note that the mentoring scheme is free and open to all Nigerian Doctors in the British Isles. It is an opportunity receive advice about career progression from more senior Nigerian doctors practicing in the British Isles.

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Updated 23/10/2008

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