The Welsh Barbers Society
Registration Form 2012
Title *
Full Name *
Job Title Consultant Staff Grade Associate Specialist SpR CT FY Other *
Other
Hospital *
Telephone No. *
Email Address *
Presenting Author No. *
PayPal Info
Sessions Thursday Friday AM Friday PM *
Dinner/Lunch Attendance Dinner on Thursday Lunch on Friday *
Are you bringing a guest? Yes No *
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© The Welsh Surgeons Society - Cymdeithas Lawfeddygol Cymru 2009