Registration Form

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Ethnic Minority Women in Welsh Healthcare (EMWWH)
Health Inequalities

Mercure Hotel, Cardiff North, CF23 9PX

29^th June 2024

Register for the Event

To ensure that confirmation of place is not delayed, could you kindly state if you are registering and paying for this conference/event for yourself or on behalf of someone else?

I am registering and paying for myself

I am registering and paying on behalf of someone

Please provide YOUR DETAILS so that we can match the payment with the candidate's details in our system.

Forename

Surname

Address

Country

Pin code/Post code/ Zip code

Phone number (including country code if outside the UK)

Please state your relation to this candidate

Ethnic Minority Women in Welsh Healthcare (EMWWH)Health Inequalities

Register for the Event

Ethnic Minority Women in Welsh Healthcare (EMWWH)
Health Inequalities