Workshop Booking Form 2012
Please complete the Form below to book a place in a workshop. Workshops often fill quickly, so confirm you have a place before booking airlines etc.
Please Note: This Form may be filled in and printed if you prefer to fax or post your workshop reservation.
Name(s) (include more than one name here if from the same practice:
Postal address:
Postal Address2
Town:
Email contact:
Continence & Pelvic Floor Workshop Select date here Continence Workshop 14-15 July 2012
Male Pelvic Floor Workshop Select date here Male Pelvic Workshop 21 April 2012
