Flu-Vaccination Training 2019 Booking Form : PharmaPlus Academy
DATE: 23 JUNE and 15 SEPTEMBER 2019

TIME: 9:30 AM till 4:00 PM

DEADLINE: First come first serve basis

VENUE: Pharmaplus office (Harrow & Wealdstone)

COST: FREE for ONE person per member pharmacy

SUBSIDY: Upto 100% of the original cost of £100 + VAT

NOTE: Cost for additional people from the same pharmacy will be £50 + VAT per person.

Email address *
Choose a date to attend the training at PharmaPlus Office:
We initially had 3 dates available this year for the training, now we only have 2 available. Please choose one that you would like to book your place for: *
NOTE: WE HAVE CANCELLED THE 21 JULY SESSION. PLEASE DO NOT BOOK THAT DATE.
NOTE: Once booked, your chosen date (above) can not be changed.
Your Pharmacy Name *
(If you have multiple branches, then please fill in separate form for each branch)
Your answer
Attendee's Name *
Please Enter Your Full Name. If there are more than one people coming from one pharmacy, please fill a SEPARATE form for each person.
Your answer
Attendee's GPhC Number if applicable
Your answer
Your Dietary Requirements *
Vegetarian
Non-vegetarian
Other (inc. any allergies)
Select ONE option
If you have selected 'Other' in dietary requirement field above then please specify:
Your answer
Please list two services that you feel PharmaPlus should provide to members (that we don't currently provide)? *
Your answer
Booking Terms and Conditions and Cancellation Policy
PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING

• WHO IS THE TRAINING FOR :: The training is for registered PharmaPlus member pharmacies and their staff.

• TRAINING DATE & TOTAL NUMBER OF GUESTS :: Booking is maximum for 1 person per pharmacy which is FREE of charge, if you want more people from one single pharmacy to attend then the guests will be charged at £50 + VAT each. In such cases, an invoice will be issued immediately after the booking of the training. In cases where there are more than 2 people attending from the same pharmacy (please do fill in the individual forms for each), there is a chance we may need to put those additional people on a waiting list. And if we do put them on a waiting list we will get in touch with you over the phone/email to inform you.

• COST TO PHARMAPLUS :: The organisational cost to PharmaPlus for the training session is in excess of £100 + VAT per person (which we have subsidised for you).

• OUTSTANDING INVOICES :: Prior to attending the event, please ensure all outstanding invoices of Pharma Plus Ltd. up to May 2019 are settled.

• CANCELLATION POLICY :: PLEASE NOTE: If you want to cancel your booking for the Flu Vaccination training, you can do so by at least 7 working days before each respective training session by 11:00AM by emailing or calling us (i.e. 15th June for the 23rd June Session, 12th July for the 21st July Session and 6th September for the 15th September Session). Cancellation is only valid if we have emailed you back to confirm it. If you do not inform us to cancel and do not attend the Flu Training Seminar, PharmaPlus will invoice you £100 + VAT (for each person confirmed from your pharmacy).

• ATTENDING WITHOUT BOOKING :: Please note that there are limited seats for the training and if you have not booked your attendance, you will not be allowed in the venue to attend the training.

• EVENT CANCELLATION :: Pharmaplus reserves the right to cancel the training and your booking without notice if unforeseen circumstances force us to do so.

I confirm I have read the terms and conditions of the booking. The invoice, if applicable, can be sent to me. *
Required
A copy of your responses will be emailed to the address you provided.
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