CPNEL Pharmacy Conference 2025 – Community Pharmacy NEL

First Name

Surname

Email Address

Pharmacy Fcode

Pharmacy Name

Pharmacy Address

I confirm that I be attending the NEL Pharmacy Conference on Sunday 12th January 2025

Yes

How many additional attendees do you wish to register from your pharmacy?

If you only wish to register yourself, please write '0' in this field.

Please add the Names and Email addresses of any additional attendees from your pharmacy

I understand there will be a cancellation charge of £35 per head for non-attendance, or failure to inform CPNEL of cancellation before 08/01/2025.

I understand and agree

I understand the data I submit in this form will be processed and stored by CPNEL, for the purposes of preparing this event and confirming my attendance. I understand this information may also be shared with meeting sponsors.

I understand and agree