Course fees and Registration form
The practical and demonstration sessions are held on a Saturday morning. All fees include lecture
notes, lunches and light refreshments. There is a Course Dinner for each week booked. A CD or
link of the course notes will be sent to participants after the course, which will include any updated
versions of the lectures. Please note that accommodation is not included but is available for
approximately an extra £100 per night.
Lectures and practicals
External PhD students,
(please send proof of academic registration)
Individual weekdays:
£180 per day (Please circle dates attending)
November
2015 (Sutton)
March 2016
(Chelsea)
£750
£750
£1250
£350
9th 10th
11th
£600
£350
11th 12th
13th
10th,
8th
Both
weeks
Name:
Organisation:
Address:
Postcode:
Fax No:
(if UK),
Tel No:
Email:
I should like to enrol for the November and March Radiotherapy Physics Course
(Please circle)
Or Please invoice to:…………………………………………………………………
I enclose a cheque for the full amount of £ ………………….. payable to:
“The Institute of Cancer Research: PHRJOD”
Or by Credit Card:- MasterCard/Visa only accepted (tick as appropriate)
Master Card
Visa
Card No.
Expiry Date: ………………. Signature ………………………………. (Essential)
Address of Cardholder………………………………………………………
Do you wish to receive accommodation details?
Yes / No
Do you wish to attend our Course Meal?
Yes / No
Do you have any dietary requirements?
Yes / No
If so, please provide details:
How did you hear about the course?
Please confirm you are happy for your details to be passed onto the course lecturers and other
delegates attending the course. This is in way of an attendee list which only goes to course lecturers
and delegates on the Radiotherapy Physics Course. Yes / No
Background experience: Radiotherapy Physicist (0, 1, 2, 3, 4+ yrs); Clinician, Radiographer, Other
Please fax/send completed form, and forward payment to:
Cheryl Taylor
The Joint Department of Physics
The Royal Marsden NHS Foundation Trust
Downs Road, Sutton, Surrey SM2 5PT, UK
Telephone +44 (0)20 8661 3704; Fax. +44 (0)20 8643 3812; Email: Cheryl.Taylor@icr.ac.uk