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ONLINE REGISTRATION FORM (MALTA)
*Please complete this form to register your interest in attending the Mediterranean PRF/Prolotherapy MSK Ultrasound Course due to take place in Malta on 23-24 May 2024. For further information, email:
ciaranwazir@gmail.com
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Title
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Forename
*
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Surname
*
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Medical Speciality
*
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Hospital/Clinic Correspondence Address
*
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E-mail Address
*
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Mobile/Cell No:
*
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Please indicate your level of experience with USG MSK procedures:
*
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Please confirm how you would prefer to pay your registration fee for the congress:
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Please include any message for the organisers below including dietary requirements:
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