Dr Una Coales's MRCGP Courses Booking Form

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MRCGP Courses Booking Form

To book your course, please e-mail mrcgpcourses@aol.com for same day BACS payment details, print the form below and fax to 0207 642 3360 or post cheque made payable to Dr Una Coales with form to MRCGP Courses, PO Box 51953, London SW9 0YG. Places may not be reserved and are only secured upon receipt of payment with form.

Name:

Postal address for receipt:

Contact phone number and E-mail:

Deanery:

How did you hear about this course?

Instructions: Please tick or circle preferred date, fax with BACS or post with cheque.

Terms and Conditions: Refund policy: 100% course fees minus administration fee will be refunded if 8 weeks written notice is given. 50% of course fees minus administration fee will be refunded if written notice is given between 4 and 8 weeks of the course. No refund will be issued for cancellation within 4 weeks of the course. Courses may not be deferred or changed. A request to change dates will be viewed as a full cancellation. No exceptions. Post-dated cheques are not legal-tender. Administration fee: £35 for all cancellations (which will be deducted from the refund) and £15 for returned cheques, replacement certificates of attendance and lost receipt requests. Requests for replacement certificates or duplicate receipts must be made within 3 months of the course attended. Replacement course material/ manuals will be charged at 50% of course fee. By completing the booking form, you are accepting all terms and conditions.

Signature:…………………………………………………………………………………………………………Date:………………………

Updated 15:20 07 September 2010

Autumn 2010 Dr Una Coales’s MRCGP CSA Course with Book for Sept 20-25 exam (London venue): emergency last-minute CSA course Sept 13. Please call or e-mail for booking and BACS details. (5 SPACES). Max 8. £440.
Winter 2010 Dr Una Coales’s MRCGP CSA Courses with Books for Nov 22-Dec 1 CSAs (London venue): Oct 22 (2 SPACES), Nov 3 (6 SPACES), Nov 5 (5 SPACES) or Nov 8 (6 SPACES). Max 8. £440. Please specify 1^st and 2^nd choices.
Winter 2010 Dr Una Coales’s MRCGP AKT with HT Course with Book for Jan 26, 2011 AKT (Oxford and Cambridge Club, London venue): November 27 (SPACES). Max 40. £240.