HLP Workshop Booking Form

Your name *

Pharmacy Name (write locum if not regularly in one pharmacy) *

Email Address (incase we need to contact you) *

Area of work * BANESBristolNorth SomersetSouth GloucestershireAcross multiple areas

Select meeting * Weds 7th June - Bath YMCATues 13th June - LPC OfficeThurs 15th June - Somerset Helicopter Museum

Number of people you are booking for *