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Training - Online Registration

Delegate Details

Title*
Other please specifiy
First Name (preferred)*
Surname*
Email Address*
Job Title*
Company*
Address*
Telephone number*

Course Details

Training course you wish to enrol for*
HAVS (FOM) course
(Please quote your NMC or GMC number)
Postal Address - for HAVS pre-course materials only
Date of training course*
Price of training course*
Any questions/comments
How did you hear about this course?

Payment Details

Payment method** InvoiceCredit Card
Purchase order number (if applicable)
Accounts contact name and telephone number, if applicable
Address for invoice if different from above

Confirm & Submit

* Mandatory field
**If paying by credit card please telephone (+44) 01298 218806. If you prefer a company invoice, this will be sent to you on confirmation of a place being available. Please make cheques payable to the 'Health and Safety Laboratory'. At the moment, we are unable to accept on-line payments.
Booking Conditions* I have read and accept the Booking Conditions.

Further Information

If you would like assistance with the online registration process, please call our Training Unit by telephone (+44) 01298 218806.

Once we receive your online registration, we will confirm your booking. Please do not make any travel or other arrangements until we confirm receipt of your registration.

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Training - Online Registration

Further Information