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Online Registration
*Please fill in this form to register your interest in attending the Aberdeen Interventional Pain Workshop on 30-31 May 2024. For further information, contact:
ciaranwazir@gmail.com
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Title
Prof, Dr, Mr, Miss, etc
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Surname
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First Name
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Medical Speciality (incl. Pain Medicine, Anaesthesia, Neurology, Neurosurgery, etc)
*
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Medical Grade (incl. Consultant Level Doctors, Fellows, Trainee Doctors)
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Institution/Correspondence Address
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E-mail Address
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Tel/Mobile Number
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Please indicate how you would prefer to pay your registration fees:
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Please use the space below for any message you have for the organisers:
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