Booking Form: ImROC Recovery Demonstration Day 

Date:
21st September 2017
Time:
10:00 – 16:30
Venue:
Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Mapperley, Nottingham NG3 6AA

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* 1. Contact name and organisation

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* 2. Contact telephone number and email address

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* 3. Delegate Details

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* 4. If you would like to book more than six places, please state the names and email addresses below.

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* 5. Please select the delegate rate (this is the amount per delegate)

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* 6. Please confirm the total amount:

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* 7. Please provide full invoicing details:

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* 8. Please provide details of any dietary requirements. Please give the name of the person and full details.

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* 9. Please give details of any access requirements:

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* 10. Please state any key questions or issues you would like to raise.

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