Engaging Clinicians
3rd & 4th November

Data Protection - We process the details you provide to enable us to administer the event *

I consent to my details being included on the delegate list

Your name, job title and charity will be included in the full delegate list.

Terms and Conditions of booking: Our Event Terms and Conditions can be seen on our website in the Events area. *

I agree to the terms and conditions of booking

https://www.nhscharitiestogether.co.uk/event-schedule/

I wish to book the folllowing: *

Masterclass you can book individually or both sessions at a discounted member rate.

Payment *

I will make the payment using the PayPal button on the Website
I require an invoice

Please note that full payment must be received before your booking is finally confirmed. If an invoice is required please confirm email and address where the invoice should be emailed and please provide the PO number if required.

Charity Commission Registered Charity Number

If you are a registered charity/or a member please provide your Charity Commission number so we can apply any member discounts to the delegate fee

Delegate Name 1 *

First

Last

Charity/Organisation Name *

Position/Job Title *

Email *

Tel. No. *

Mobile/Out of Hours number

If there are any unexpected changes to the event, we may need to contact you outside office hours.

Waiting List or Comments

Phone

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