Online Booking

10th London Emergency Medicine Ultrasound Course
Thursday 21 and Friday 22 October 2010 at the Russell Square Conference Centre,
10-12 Russell Square House, Russell Square, London WC1B 5EH

Please complete the following delegate details form and press "Send",
you will then be able to select your payment options.

 Full name (inc title)

 Position

 Hospital

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 Direct Telephone (preferably mobile)

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 Dietary Requirements

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