Seminar Booking Form

Public Health Network Seminar Booking Form

Title :

Name :

Organisation :

Job Title:

Email :

Telephone Number :

Textphone Number :

Work Address :

Post Code :

Seminar Title:

Seminar Date:

How did you hear about the seminar?(Please tick one) PHRU Email PHRU Website PHRU Extranet Other
If other please specify:

If you would like to receive information about other PHRU functions and services please tick areas of interest: Library (PERL) Learning & Development Knowledge Management (Research & Evaluation) Public Health Networks

In order to ensure that all attendees at PHRU seminars are treated with parity, please advise us of any information that will help to facilitate your participation in the event including communication and dietary requirements. Any information provided will be treated as confidential and will used only for planning this event.


	Submit >>

Page last updated: 23/11/2006

NHS Greater Glasgow and Clyde