CANCER MANAGEMENT BEST PRACTICES
Event Timing: November 9th 2017, 1:00:00 PM
Event Address: Radisson Aquatica Resort, Aquatic Gap St. Michael, Barbados
Contact us at (Tel) : 426-6416 (Fax) : 228-0360 (BNR Hotline) : 256-4BNR
Fill out all the fields below to complete your registration:
Visit the Barbados Nation Registry website for more information on other upcoming Seminars at www.bnr.org.bb
Title
First Name
Your answer
Last Name
Your answer
Date
Date of Registration
MM
/
DD
/
YYYY
Name of Medical Organisation / Institution / Practice
Your answer
Address of Medical Organisation / Institution / Practice
Your answer
Medical Organisation Parish
Business No.
Please enter number in this format "xxx-xxxx"
Your answer
Fax No.
Please enter number in this format "xxx-xxxx"
Your answer
Cell No.
Please enter number in this format "xxx-xxxx".
Your answer
Email
If no email address, please enter "bnr@cavehill.uwi.edu
Your answer
Do you require CPE / CME Credits
I understand that I will have to pay in order to be fully registered?
Required
Payment Options
For Online payments, click:
https://secure.touchnet.net/C24201_ustores/web/product_detail.jsp?PRODUCTID=19

For cash or cheque payments, visit:
The Barbados National Registry for Chronic Non-Communicable Diseases
The George Alleyne Chronic Disease Research Centre
‘Avalon’ Jemmott’s Lane, Bridgetown, BB11115

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms