Acute Medics as Improvers Course Sign Up Form

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Email *

Name *

Current Position *

Hospital / NHS Trust *

Payment Method

The fee for the course £325 + VAT (£390 total). Payment can be made by card or by invoice.

If paying by card please select this option below and we will send you a secure PayPal link for payment to be made.

If paying by invoice via your Trust, please ensure that the PO has been raised. Purchase Orders should be raised in the name of The Society for Acute Medicine, Hazeltonhead Farm, Mearnskirk, Glasgow G77 6RS. You must include the Purchase Order number below.

Payment Method *

Pay by Card via secure PayPal link

My Trust is paying by invoice. (If your Trust is paying you must have raised a Purchase Order before completing this form.)

Purchase Order Number

A copy of your responses will be emailed to the address you provided.

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