Association of NHS Charities - Online Booking for MF

Member's Forum

Wednesday 22nd February 2012

The Academy of Medical Sciences
41 Portland Place
London
W1B 1QH

PLEASE NOTE: THIS EVENT IS FULLY SUBSCRIBED AND BOOKINGS ARE NOW CLOSED.

Number of delegates*
Organisation/charity name*
Delegate 1:
Name*
Position/Job Title*
Email Address*
Tel *
Special Dietary Requirements
Should there be any unexpected late changes to the event, such as cancellation, we may need to contact you outside office hours.
Mobile/Out of Hours Number
Delegate 2:
Name
Position/Job Title
Email Address
Tel
Special Dietary Requirements
Should there be any unexpected late changes to the event, such as cancellation, we may need to contact you outside office hours.
Mobile/Out of Hours Number
Initially places are limited to two delegates per Member Charity. Would you like to be contacted if any further places become available?

Any additional comments
Please type this number*

Should you have any queries about your booking please email lisa@assoc-nhs-charities.org.uk or Tel: 08454 635328.