Securos Surgical CPD Registration Form 2024

Orthopaedic Course CPD Registration - 2023 dates

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Please complete the following registration form with details of all delegates you wish to attend the course.

Once you have registered for a course you will receive a confirmation email.
Please select which course you would like to attend:
Venue: Carden Park Hotel, Broxton Road, Chester, CH3 9DQ
Practice Name
Address
Postcode
Who will attend the seminar?
Name

PrefixFirst NameLast Name
Mobile Number
Email
example@example.com
*Please make sure you provide your mobile number and email address so that Securos Surgical can notify delegates of any important/relevant course updates
Special requests: If you have any dietary requirements or accessibility requests please make them below.
Do you require accomodation? Pre book accommodation for 17th January 2024 for £199 B&B. Please confirm if you require the room? (Please request by 06.01.2024)
Payment is invoiced through MWI Animal Health, please indicate if you have an account.
BY SUBMITTING THIS FORM, I HEREBY CONSENT TO THE RECEIPT OF MARKETING MATERIALS FROM AMERISOURCEBERGEN AND ITS AFFILIATES VIA EMAIL AND OTHER FORMS OF COMMUNICATIONS UNTIL SUCH TIME AS I HAVE NOTIFIED AMERISOURCEBERGEN THAT I NO LONGER WISH TO RECEIVE SUCH COMMUNICATIONS.

I FURTHER CONSENT TO THE PROCESSING OF MY PERSONAL DATA BY AMERISOURCEBERGEN AND ITS AFFILIATES AND THEIR RESPECTIVE SERVICE PROVIDERS FOR THE PURPOSE SET FORTH IN THE PRECEDING SENTENCE.
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Orthopaedic Course CPD Registration - 2023 dates