Registration

 

To register, please complete the following booking form.

Please note, your place is not confirmed until your payment is received by the Course Administrator.

 

5th Manchester Endoscopic Skull Base Surgery Course

Application Form

Date: 6th to 8th December 2021
Venue: Manchester Surgical Skills & Simulation Centre, Stopford Building, University of Manchester
Course Administrator: Mrs Natalie Whalley
 

Name of Applicant
Grade
Telephone (with code)
E-Mail:
Current Hospital
 
Applying for: Dissector - 3 days (GBP1375.00)
 
Dietary requirements
VegetarianYes
No
Other special dietary requirements
Course DinnersIncluded in fee
Message or Comments
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