Course registration form

Please use the form below to register for one of our courses.

Upon successful completion of your form you will receive a confirmation email. If you do not receive a confirmation email your registration has not been received by the education team and you will need to resubmit.

Alternatively you can email nibecenquiries@nuh.nhs.uk or call 0115 969 1169 ext: 59031/59030, Monday to Thursday between 9am and 4pm.

Please note that payment made by credit or debit card will incur an additional charge of £1.50.

 

Nottingham Breast Institute course registration form

Selected course
Personal details




Work details











Other information


Payment method - Please include a full postal address if selecting invoice. If you require an invoice you must complete the following details. Failure to do so may result in a cancelled booking.













Send cheques payable to Nottingham University Hospitals or contact the office on 0115 9691169 ext. 59030 or 59031 to pay by credit card. Payment made by credit or debit cards will incur an additional charge of £1.50
Please send payment to.
Blamey Education Centre, Nottingham Breast Institute, City Hospital Campus, Hucknall Road, Nottingham, NG5 1PB

NHS Nottingham University Hospitals
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