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Visitor Registration

If you wish to attend the 16th December Workshop without joining AQMLM, please complete the form below.  The cost of attending is £50 for clinical scientist & BMS trainees, £85 for all others.  The payment options are below. 

Note that option 4 is no longer available.

  1. To pay personally by electronic bank transfer - we will send you our account details by email
  2. To pay by cheque - please make it payable to "AQMLM" and send it to: AQMLM, c/o Birmingham Quality, PO box 3909, Birmingham B15 2UE. (This option is available up to 2nd December 2019)
  3. For us to invoice you (ie you personally, not your employer) - we will send a pdf invoice to your email address.  (This option is available up to 2nd December 2019)
  4. For us to invoice your Employer - you must organise this with your managers, provide a purchase order number, the exact address for invoicing and the authorising contact, and send the PO to us immediately - do not delay!  Your employer must pay us before the Workshop; we routinely add a late payment surcharge of £50 if they do not.  (This option is available up to 16th November 2019)

Any questions - please use the Contact form.

Thank you!

Helpful if your work place has a strong firewall that may block or quarantine our emails.

Please provide a direct dial number to your desk rather than a switchboard.

Useful if we need to contact you urgently prior to the meeting

If you are in a multi-site Trust, please provide your actual location rather than the Trust HQ

Please select one option.  If you are a trainee, we will need a confirmatory email from your line manager.

Please select one option.

Required only if you wish your employer to be invoiced.

Required only if you wish your employer to be invoiced.  Please provide the correct address - this may be different from your work address.

If you wish us to invoice your employer, please provide the name, email address and phone number of the person authorising your invoice.

Dr. Radut | webform