Medical Innovation Forum

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Supporters:

Online Events: Registration

Individual online events are available at £45 + VAT.

If you are likely to wish to attend a number of online events during the year, you can save money by taking out annual membership, which currently also includes a place at the Medical Innovation Forum in London on 8th June 2011.

Please fill in the following form. * marked fields are mandatory.

First Name*

Last Name*

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(Re-type your email)

Phone*

Mobile*

Job Title*

Organisation*

Address Line1*

Address Line 2

City*

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Postcode*

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If you are a member or to register for more than one online event, please select from the dropdown menu below:

Please select to either pay online now with a credit or debit card or to be invoiced.
	Pay Online Pay by Invoice (Please note, there is a £10 administration charge if you require an invoice)