-	12th October 2021	-	13th October 2021	Registration Fees: 1 day: £ 230 + VAT Both days: £ 230 + VAT (NHS Trusts are VAT exempt)
LIVERPOOL SHORT COURSES IN MEDICAL STATISTICS Application Form – 12 / 13 October 2021

Name ___________________________

Department _________

Address (Work) __________________

__________________________________

__________________________________

__________________________________

Postcode ________________________

Telephone _______________________

Fax ______________________________

E-Mail _________________________

Specialist Dietary Requirements

__________________________________

THIS FORM MAY BE PHOTOCOPIED

I enclose a cheque payable to

Liverpool University Hospitals NHS

Foundation Trust

Please invoice me (purchase order

number attached)

I wish to pay by credit / debit card

(a payment form will be sent to you)

Signature __________________

Please return this form to:

MedStats Course Organiser

Medical Physics & Clinical Engineering

Royal Liverpool University Hospital

Prescot Street

Liverpool L7 8XP

Tel: 0151 706 4200

Fax: 0151 706 5803

lynsey.holmes@liverpool.ac.uk

LIVERPOOL SHORT COURSES IN MEDICAL STATISTICS Conditions of Booking
Application

Applications must be made by returning a completed form by post, fax or e-mail. Forms should be accompanied by a cheque, purchase order number or a request to pay by debit/credit card. Applications received with payment details will be given priority. Places cannot be reserved pending payment. Confirmation will be sent to you with important pre-course documentation. Allow time for study of the pre-course documents.

Registration Fee

Fees are fixed whether 1 or both days are attended. 20% VAT is charged in addition to the course fee shown, UK NHS Trusts are VAT exempt.

Registration fees cover tuition, documentation and CPD certificate.

Registration is required before attendance. The number of participants will be limited to 25 to minimise any bandwidth issues and to ensure that everyone has a good opportunity to interact.

Cancellations

Cancellations must be notified in writing. The following charges will apply:

15 or more days before event: 25% of the registration fee.

Less than 15 days before event or no notification: 100% of the registration fee.

Substitutions will be accepted if notification is received in writing.

In the event of unforeseen circumstances, the organisers reserve the right to alter the programme or speakers.

Important

The course is held online using a platform such as Zoom, Teams, Skype, etc. Details will be sent out to registered participants 2 weeks prior. Participants are expected to have access to a PC/laptop or a tablet with a webcam, a microphone and somewhere quiet where they will not be disturbed.

If you do not receive acknowledgement of your application 2 weeks before the course, please check the progress of your application within your organisation and contact the course organiser.

Course Organiser

Lynsey Holmes

Medical Physics & Clinical Engineering

Royal Liverpool University Hospital

Prescot Street

Liverpool, L7 8XP

Tel: 0151 706 4200

Fax: 0151 706 5803

lynsey.holmes@liverpool.ac.uk