Event Booking - Queenscourt Hospice

Queenscourt Hospice > Event Booking

Non Medical Prescribing ECHO Network

1Your Details

2Few more details

3Payment Details

Please Note:

Please bring your work ID badge or photo ID with you when you attend every session
Your place is not reserved until payment is received
Cancellation within 1 week of the course will result in an administration charge of 50% of the course fee
No refund will be given for non-attendance on the day without notice of cancellation

TitlePlease select an option

First NameRequired

Last NameRequired

Date of Birth

Email AddressRequired

Contact NumberRequired

Address Line 1Required

Address Line 2

CityRequired

PostcodeRequired

Place of WorkRequired

Role

Work Contact NumberRequired

Work AddressRequired

Work PostcodeRequired

Work EmailRequired