YDEF Annual Training Day registration form
What is your first name? (Required)
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What is your surname/family name? (Required)
Please let us know your name.
What is your email address? (Required)
Please let us know your email address.
Verification of your email address? (Required)
Please let us know your email address.
Mobile phone number (Required)
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Diabetes UK membership number (Required)
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Please mention the hospital you currently work at (Required)
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City or Town (Required)
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I will be attending the YDEF annual dinner at the end of the day?
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Dietary requirements
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Please mention if there are any other considerations
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We will be inviting some trainees to bring their DUK conference posters along on the day, to show colleagues their work. There is a prize for the best poster. If you would not like to be participate please tick the box (Required)
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Please choose a workshop for the 10:45am session (see programme) (Required)
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Please choose a workshop for the 11:45am session (see programme) (Required)
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Please choose a workshop for the 13:30 afternoon session (see programme) (Required)
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Please choose a workshop for the 14:30 afternoon session (see programme) (Required)
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Please provide a question for the panel to discuss at YDEF Day (Required)
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Deposits should be sent in the form of a cheque. The cheque should be made payable to 'Diabetes UK' for the sum of £100. Please send the cheques to Elise Harvey of Red Hot Irons. You will receive the postal address in the confirmation of registration email. PLEASE BEAR IN MIND CHEQUES WILL ONLY BE REFUNDED IF YOU ATTEND THE FULL DAY (this includes the meal if you booked this above).
Please indicate if you require a discount code for the early bird rate at DUK conference
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