Varian User’s Group Meeting February 2012

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Varian User’s Group Meeting February 2012
www.nhslothian.scot.nhs.uk/VUG2012
12 noon 23rd Feb 2012 – 12 noon 24th Feb 2012
Title (Miss/Mrs/Ms/Mr/Dr)………………............First Name……………..............................…………….…
Surname………………………………………………………………………........................................................….…
Correspondence address…………………………………….................................................…………………....
………………………………………………………………………...........................................................………….……
…………………………………………………………………...........................................................……………….……
Email………………………………………………........................................................…………………………….…..
Telephone (work)………………………...................................................……………………………………….….
Job Title………………………………….......................................................…………………………………….…….
Place of Work……………………………………………………......................................................…………………
Any special dietary requirements…………………………..............................................……………………..
Please select one of the below:
Registration for conference only £50
Registration for conference and conference dinner £80
Please make cheques payable to ‘Varian Users Group 2012’
I confirm that I wish to book a place at the Varian User Group Meeting 2012
Signature…………………………………............................Date…………………..........................………………
I require a receipt to be sent
I will collect my receipt at the meeting
Please organise your own accommodation
(Suggestions can be found through the VUG 2012 website)
Forms should be sent to
Linda Goodall / Joanna Kane
Radiotherapy, Edinburgh Cancer Centre
Western General Hospital,
Crewe Road South
Edinburgh EH4 2XU
If you have any queries please email
Linda.Goodall@luht.scot.nhs.uk
Joanna.Kane@luht.scot.nhs.uk
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