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procurement & distribution interest group

Please complete the following form to apply for the PDIG symposium:

Name:
Job Title:
Address:
Email:
Telephone number:
Fax number:
Please send me information about future meetings by email: Yes No
Industry: Branded Pharma
Generic
Wholesale/Distributor/Homecare
Other
NHS: Region
Please enrol me for the GHP PDIG Symposium on Thursday the 11th of June 2009
Please indicate your delegate rate:
NHS delegate (Discounted Rate): £95
Non-NHS delegate: £130
The enrolment fee includes attendance at all lectures and discussion sessions, plus morning coffee, buffet lunch and afternoon tea.
  • Early booking is advised as places are limited. Late applicants are not guaranteed a place.
  • Please make your cheque payable to; "GHP-PDIG Section Fund" or pay by BACS to the "Co-Operative Bank", P.O. 250 Skelmersdale WN8 6WT, Sort Code 08-92-50, for the credit of "GHP Section, Account Number 50114849".
Please quote: "PDIG/June-2009" with the "Name of delegate(s)" written on the back of the cheque. Also quote Invoice Number, if known.

Attendance at the Study Day will count as 4.25 hours towards the Continuing Education requirement of the College of Pharmacy Practice.

Conference queries:

Jean Fairhurst, PDIG Administrator, 9 Tring Road, Long Marston, Herts HP23 4QL

Tel/Fax: 01296 662209 E-mail: jean.fairhurst (at) ntlworld.com