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MRCGP Courses Booking Form

To book your course, please e-mail mrcgpcourses@aol.com for same day BACS payment details and then fax the form to 0207 642 3360 or email the form as an attachment. Alternatively you may post a cheque made payable to Dr Una Coales with form to MRCGP Courses, PO Box 51953, London SW9 0YG. Places are allocated upon receipt of payment.

Name:

 

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Contact phone number and E-mail:

 

Deanery:

 

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

Spring 2012 Dr Una Coales’s MRCGP AKT Course with Book for April 2012 AKT (Oxford and Cambridge Club venue): March 17 (SPACES). £260.

 

Spring 2012 Dr Una Coales’s MRCGP CSA Courses with Books for May 2012 CSAs (London venue): March 19 (7 SPACES), April 13 (SPACES), April 16 (SPACES), or April 20 (SPACES). £475.

 

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 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 will be charged at 50% of course fee. By completing the booking form, you are accepting all terms and conditions.

Signature:…………………………………………………………………………………………………………Date:………………………
Updated 16:00 25 January 2012