PharmaPlus 2018-19 Pre Reg Booking Form
THE COST FOR THE TRAINING IS £875 + VAT PER PRE-REG

COURSE STARTS IN SEPTEMBER / OCTOBER 2018 (Exact start date to be announced shortly)

TRAINING VENUE will be at the PharmaPlus Office

PLEASE FILL THE FORM BELOW TO BOOK YOUR PLACE NOW! WE ONLY HAVE 32 PLACES AT THIS PRICE!

Email address *
NEW DEVELOPMENT: 2018-19 Program will now have 7 Training Days in place of 6
Your Pharmacy Name *
(If you have multiple branches, then please write the names of each branch that requires the pre-reg)
Your answer
Your Name *
Your answer
Total number of pre-reg places for the training course to be booked: *
Please use the space below to provide us with any additional information if you like (eg. if booking more than one pre-reg you may want us to invoice your branches individually):
Your answer
BOOKING TERMS AND CONDITIONS
1. INVOICE: PharmaPlus will raise the invoice for the total number of pre-reg places you have selected in this form.
2. PAYMENT: Total payment will be due from 60 days of the date of the invoice.
3. REGISTRATION: The joint course is for PharmaPlus members only and PharmaPlus will send a link to a form that your pre-reg would need to fill in order to register to our training course. This will be sent out at a later date once the course details are made available by our training provider.
I confirm I have read the terms and conditions above and my business / pharmacy can be invoiced for the pre-reg places I have booked above. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service