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DELEGATE INFORMATION

 

Date: 23rd November 2007


Venue: The British Library
96 Euston Road
London
NW1 2DB


Tel:      020 7412 5526

Web:    http://www.bl.uk/leiths/

Directions:        http://www.bl.uk/leiths/contact.html

Cost:    no cost to BASHH members,  £55 (non-BASHH members)


PLEASE COMPLETE THE FOLLOWING:

NAME: (Title, Forename, Surname): .........................................................................................

HOSPITAL/CLINIC & DEPARTMENT: .......................................................................................

CONTACT ADDRESS:..................................................................................................................

....................................................................................................... POSTCODE: ___________

DAYTIME TEL: ............................................................................

EMAIL: .........................................................................................

DIET REQUIREMENTS: ............................................................................

(note – CME/CPD approval pending)

Cheques payable to BASHH.

Send your completed application form to:

Brian Smith Associates,
145 St. Pancras,
Chichester
PO19 7SH


Queries: Call BSA on (01243) 539999 or email: debbie@briansmithassociates.co.uk



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