2011 Meeting Registration |
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Written by Administrator
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Tuesday, 09 August 2011 |
THE BRIAN HARCOURT MEMORIAL FUND MEETING WILL BE HELD ON TUESDAY 4th October 2011 REGISTRATION FORM
Dear Colleague
This year’s Brian Harcourt Meeting will be:
“Oculoplastics” This is always an enjoyable and educational day out. Please support this meeting and book your study leave in time. Please book your place as soon as possible by sending your payment to:
Mr Long’s Secretary -Donna Ible Department of Ophthalmology 2nd Floor, Chancellor’s Wing St James’s University Hospital Beckett Street Leeds LS9 7TF
Meeting Fee: Consultants £80.00 All other attendees £60.00
Please make all cheques payable to: “The Brian Harcourt Memorial Fund”. Name …Mr/Miss/Mrs/Dr…………………….
Institution: I am a Consultant/ Trainee/ Allied profession (please delete) Address for correspondence
………………………………………………………………………… …………………………………………………………………………… ……………………………………………………………………………
Email Address ………………………………………………………………………
Special dietary requirements ……………………………………………………… ……………………………………………………………………………………………
I enclose my cheque for £ 60 / 80
Signed ……………………………….. Date ………………………… For further information, please do not hesitate to contact: Donna Ible Tel: 0113 2066663
PLEASE NOTE TO AVOID SPAM, REPLACE AT with the @ sign and leave no spaces! Email: donna.ible AT leedsth.nhs.uk
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Last Updated ( Tuesday, 09 August 2011 )
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