Online Booking

2nd London MSK Ultrasound Course
on Thursday 9 December 2010 at the Russell Square Conference Centre,
10-12 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

 Address:

 Postal Code:

 Direct Telephone (preferably mobile)

 Email:

 Dietary Requirements

 How did you hear of the event?

Please select: Post Email Word of mouth Brochure in medical journal Advert in medical journal