National Diabetes and Endocrinology Taster Day
First Name (*)
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Surname (*)
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Email address (*)
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Deanery/Medical School (*)
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What year of medical student or doctor training are you? (*)
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What is your main reason for attending? (*)
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How likely are you to choose a career in diabetes and endocrinology? (*)
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How did you hear about this event? (*)
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Do you require a passmedicine subscription? (*)
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Which passmedicine subscription do you require? (*)
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Please send a cheque for £30 to 'Suraiya Chowdhury, Diabetes UK, Wells Lawrence House, 126 Black Church Lane, London, E1 1FH. Please add a cover note mentioning 'deposit for taster day (YDFM) with your name, email address and contact number.This will be destroyed on attendance. If you would prefer bank transfer please let us know.
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