Developing World and Remote Locations 2017

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Special Dietary Requirements

VegetarianLactose IntoleranceGluten IntoleranceOther

Course Fee: £120

Early Bird Rate: £100 if paid 3 weeks before date of course

Preferred Method of Payment

ChequeBank Transfer

PAYMENT BY CHEQUE

Please make cheques payable to 'Cardiff University':

For the attention of Catherine Hough
Department of Anaesthetics, Intensive Care and Pain Medicine
3rd Floor 'B Block Main Building, University Hospital of Wales
Heath Park, Cardiff, CF14 4XW

Email: houghc@cardiff.ac.uk

PAYMENT BY BANK TRANSFER

If you would like to pay by bank transfer please make sure you have ticked the box above and details will be sent to you.

If sending a cheque please print this form or add a note (so that we know which course you are paying for) and send with your payment to the address above.