TORBAY CPD GROUP

Delegate Booking Form:

                    Radiography

 Presented by Sonia Jones

 

Saturday 14th October 2017 TREC TORBAY HOSPITAL

 

(TREC centre is part of Horizon - innovation, education and research facility based at Torbay Hospital. Lowes Bridge, Torquay, Devon TQ2 7AA

 

(All information provided will be kept confidential and used for the purposes of contact/dissemination of information within the group only)

 

Please return this form and provide information for the following

  • To book a place and send payment for the meeting

 

Name………………………………………………………………………………………..

 

Contact Telephone numbers:

 

Home……………………………….Work……………………………….

 

Mobile……………………………………………………………….

 

Which surgery/surgeries do you work at?………………………………………………

 

GDC Registration number (if applicable)………………………..

 

Any special dietary/access needs?.................................................................................

 

□ I enclose a cheque for £17.50 made payable to ‘Torbay CPD Group’.

 

If you would like to pay via internet banking please contact me for further details (email: torbay.cpdgroup@gmail.com). Please note when paying online you will still need to send your booking form via post.

 

Register before 29/9/2017 for only £17.50. Applications received after 29/9/2017 will not be accepted. Fee covers any course notes, tea/coffee and light buffet. 

 

PLEASE RETURN COMPLETED FORM AND PAYMENT (cheque) to:

Trudi Chudley

Torbay CPD Group

172 Sherwell Valley Road

Torquay

TQ2 6ET      email: torbay.cpdgroup@gmail.com        

 

Photocopy as necessary – please use a separate form for each person

YOU MAY BE THE ONLY MEMBER OF YOUR TEAM TO RECEIVE THIS (VIA EMAIL)

 PLEASE LET OTHERS KNOW ABOUT THE GROUP – SPREAD THE WORD!                         

 

Please note: There are a number of car parks for patients and visitors on the Torbay hospital site. Parking charges apply 24 hours a day.