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Booking:

Please complete the form below to reserve your place on the Human Factors Masterclass:

* Your name:
* Current post:
* Current grade:
* Current trust:
* Contact Email Address:
* Contact Phone Number:
* Your address:
Please reserve me a space on the Human Factors Masterclass, 5th and 6th July 2012.
Costs: Discounted MDDUS Member Rate: £470.00 plus VAT (£564.00 total)

Please reserve me a space on the Human Factors Masterclass, 8th and 9th November 2012.
Costs: Discounted MDDUS Member Rate: £470.00 plus VAT (£564.00 total)

* = Required fields
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Venue details:

8th / 9th November 2012 Masterclass:
Touchbase
15 Bath Road,
Hounslow,
Middlesex,
TW6 2AB


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July 5th / 6th Masterclass:
Glasgow Office
The Medical and Dental Defence Union of Scotland (MDDUS),
Mackintosh House,
120 Blythswood Street,
Glasgow,
G2 4EA


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