PRESENTS
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PRESENTS
Course Title: Feeding Problems in Premature Infants and High Risk Neonates
Dates: Thursday 07th & Friday 08th October 2010
Name (Block Letters Please):
Employer /
Trust:
..
Contact address:
.
.
Post Code:
Telephone:
.
...
If you are happy to receive confirmation/ correspondence via E-mail please include your
E-mail Address:
Are you a
NESTA member? (Please circle)
Membership No:................................................
Cheque enclosed YES / NO (please circle).
If NO
please give FULL name and FULL address of whom to invoice, e.g. name of trust
finance or training department.
.....
...........Signature:................................................
Please state any special dietary
and access requirements:...............................................................................