OLD Registration Form

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OLD Registration Form

Registration Form for 20th LFI Plenary Meeting on Friday 8th & Saturday 9th November 2024.

Name:

Job Title:

Hospital:

Speciality:

Contact Phone No:

Email:

I will attend on Friday 8th November

Yes

No

Accommodation required on Friday 8th November

Yes

No

I will attend the conference dinner on Friday 8th November

Yes

No

I will attend on Saturday 9th November

Yes

No

I will require lunch on Saturday 9th November

Yes

No

CPD Certification Required?

Yes

No

Thank you for submitting your registration form.

I will get back to confirm your registration as soon as possible.

Thanks

Anne

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