Online Booking

7th London Thoracic Ultrasound Course
on Tuesday 15 May 2012, at the Hammersmith Hospital,
W12 Conference Centre, 150 Du Cane Road, London W12 0HS
 

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

 Full name (inc title)

 Grade

 Speciality

 Hospital/Practice

 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

My experience in the use of Ultrasound

I am an absolute beginner

I have some experience

Once you click 'Send, please allow up to
60 seconds whilst the booking processes.