Anaesthesia and Bariatric Surgery
Anaesthesia and Bariatric Surgery
Anaesthesia and Bariatric Surgery
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Name (please print):<br />
<strong>Anaesthesia</strong><br />
<strong>and</strong><br />
<strong>Bariatric</strong> <strong>Surgery</strong><br />
Mayo Building<br />
Salford Royal Foundation Trust<br />
Thursday 18th November 2010<br />
APPLICATION FORM<br />
Hospital:<br />
Telephone no<br />
Job title:<br />
Area of work:<br />
Contact address for the receipt:<br />
Email:<br />
Dietary Requirements – Vegetarian / Non Vegetarian<br />
Please make cheques payable to “Salford Royal Foundation Trust” <strong>and</strong> send to….<br />
“<strong>Bariatric</strong> <strong>Anaesthesia</strong> Study Day”<br />
C/O Am<strong>and</strong>a Doherty<br />
Anaesthetics Department<br />
Salford Royal Foundation Trust<br />
Stott Lane,<br />
Salford<br />
M6 8HD<br />
Non-attendees / late cancellations (less than 10 days prior<br />
to the day) are non refundable.
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