Registration Fee:
Before 1 May 2006
Consultant € 300
Non Consultant
€ 250
N
urse € 200
After 1 May 2006
Consultant € 350
Non Consultant
€ 300
Nurse € 250
Registration
Surname:
Forename:
Address line 1
Address line 2
Address line 3
Town/City:
Country:
Hospital:
Position:
Telephone number (including STD code):
Fax number (including STD code):
email address: