Saint Francis Hospice - Advanced Communications Skills Training Course Registration

Please complete the form below to register for a course. Once you have submitted this form, our team will be in touch to confirm your place and send an invoice.

What event would you like to book? *

Your details

Title *

Mr
Mrs
Ms
Miss
Dr

First name *

Last name *

Phone *

Email *

Job Title *

Name of your organisation? *

Please identify the patients and/or specialities you are currently invovled with *

Please give a short outline of your patient/family contact and the issues you encounter. *

What would you like to gain from the course? or What areas of Communication would you most like to work on? *

How would you like to pay? An invoice will be produced regardless of method of payment. *

Credit card (contact 01708758646)
Via bank (details will be on the bottom of the invoice)
Invoice via organisation (please provide purchase order number (if necessary)

Address/email for invoice or any other information

Submit registration

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