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Fields marked with * must be completed.
Surgery Name *e.g. Village Road Surgery
Practice Type * Choose option DispensingPrescribing OnlyOther
Address 1 *
Address 2
City *
Phone *
Fax
Postcode *e.g. YO31 9BJ
Current Wholesaler
PSUK Event * Choose option Advanced Dispenser - Preston - 22nd FebruaryAdvanced Dispenser - Lincoln - 28th March----Bs. Management & Marketing In Practice - Bury - 26th April----Chronic Constipation - Bury - 20th FebruaryChronic Constipation - Stockport - 6th March----Dispensary Management - Durham - 19th AprilDispensary Management - Truro - 21st June----Drugs & Therapeutics - Caernarfon - 15th MarchDrugs & Therapeutics - Cheltenham - 30th MayDrugs & Therapeutics - Salisbury - 31st May----Drug Tariff & Endorsing - York - 7th March----Financial Monitoring - Yarm - 22nd MarchFinancial Monitoring - Penrith - 18th April----Guide to Drugs & Therapeutics - Doncaster - 29th FebruaryGuide to Drugs & Therapeutics - Caernarfon - 15th MarchGuide to Drugs & Therapeutics - Cheltenham - 30th MayGuide to Drugs & Therapeutics - Salisbury - 31st May----Managing Profitability - Preston - 25th AprilManaging Profitability - Taunton - 20th June----VAT Management in Practice - York - 8th FebruaryVAT Management in Practice - Milton Keynes - 2nd May
Delegate 1 *
Job Title *
Delegate 2
Job Title
Delegate 3
Delegate 4
Dietary Requirements
Terms Acceptance *STUDY DAYS: I agree that I will be charged in the event of non-attendance to this event unless I notify PSUK 24 hours prior to the event. The rate for this will be £25 + VAT for Prescribing only practices (invoiced to practices), £75 + VAT for Non-PSUK members (invoiced to practices) and £37.50 + VAT for PSUK members (this will be charged through practice’s PHOENIX account).