Training - Online Registration

Delegate Details

Title* Please select your title from the list.
Other please specifiy
First Name (preferred)* First name is required.
Surname* Last name is required.
Email Address* * Required
Job Title* Job title is required.
Company* Company is required.
Address* Address is required.
Telephone number* Telephone number is required.

Course Details

Training course you wish to enrol for*
HAVS (FOM) course z
(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.

Back to the top