HealthEnvNetworkBookingForm
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Healthy Environment Network Open Seminar

 

Climate change and health 
Thursday 9th February 2006

9:15 am to 4 pm

Tolbooth, Stirling

 

BOOKING FORM

 

I would like to book a place at the Healthy Environment Network Open Meeting on Thursday 9th February 2006.   

 

Cost:     £30.00 per person (lunch and refreshments included) 

Cheques should be made payable to NHS Health ScotlandIf paying by cheque, please enclose with booking form.  Alternatively an invoice can be sent to your organisation (see below)

 

Title

Surname

Forename(s)

Job Title

 

Full Address

 

 

 

 

Postcode

Tel Number

 

Email address

 

If you have any special requirements such as diet, sound amplification, or special assistance with access, please indicate so that we can help appropriately

 

 

Full contact details for invoice (if appropriate)

 

 

 

 

 

 

100% cancellation charge will apply but delegate substitutions can be made.

 

Closing date for receipt of forms is 5 pm on Friday 20th January 2006

 

Completed booking forms should be sent to:

 

Krystyna Kennedy, NHS Health Scotland, 4th Floor, Clifton House

Clifton Place, Glasgow  G3 7LS

 

krystyna.kennedy@health.scot.nhs.uk  

 

Tel: 0141 300 1013       Fax:  0141 300 1020