Doctorsupdates Registration Form

Please use this form to register for the required conference. Once you read the disclaimer below and have confirmed your details you will be automatically transferred to the on-line payment page with PayPal.




Da Balaia 2010 registration fees:

Full registration: £390 (£440 after August 20th)
Trainee registration: £340 (£390 after August 20th)
Associate Registration: £140


* check your eligibility click here


For Refund Policy click here

Title:         Grade:   

Conference:             

Surname :    *         

First Name :     *      

Special Interest :      

Hospital:                  

Mailing Address:*

PostCode:          *  

Tel (daytime):     *  

Tel (home):             

Fax:                        

E-mail:    *             

Confirm E-mail: *    

Click here for the Doctorsupdates.com Disclaimer

Important: I have read and accept the Doctorsupdates.com disclaimer and
shall advise all my guests and/or accompanying persons as appropriate".
* 



Required Fields *