ONLINE REGISTRATION FORM
*Please complete this form to register your interest in attending the Neuromodulation Society of the United Kingdom & Ireland's Annual Scientific Meeting and Hands-on Cadaver Workshop due to take place in Leeds, UK on 15-17 November 2019. For further info on the ASM and Workshop, email: ciaranwazir@gmail.com
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Please confirm whether you are a member of any of the following societies:
Please confirm whether you would like to attend the ASM meeting on Saturday 16.11.19: *
Please confirm whether you would like to attend the ASM meeting on Sunday, 17.11.19: *
Please confirm whether you would like to attend the ASM Dinner on the evening of 16.11.19: *
Please indicate whether you would like to submit an abstract to be considered for the free presentation and poster presentation sessions at the meeting: *
Please advise whether you have any dietary requirements for the ASM catering: *
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Please confirm how you would prefer to pay your registration fee for the ASM:: *
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Please let us know whether you are interested in attending the NSUKI Hands-on Cadaver Workshop on Friday, 15th November 2019 at University of Leeds. Places are limited. *
Please include any message for the organisers below:
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