3+1+1 ECG Interpretation
Liverpool Medical Institute, L3 5SR
26th – 28th January ‘15 | 4th March ‘15 | 26th March ‘15
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:
Cheques should be made payable to:
F.A.O. Events Co-Ordinator
Cheshire and Merseyside Strategic Clinical Networks
GBS RE NHS COMMISSIONING BOARD
NHS Quayside
Wilderspool Causeway
Please mark reverse of Cheque with delegate name
Greenalls Avenue
to reduce any delay in processing.
Stockton Heath
WA4 6HL
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
juliemulvey@nhs.net craig.starmer@nhs.net