Registration form

Clinical Negligence update – review of the last 6 months

Please note that acknowledgement letters and final instructions will now be sent by e-mail

Technical contact email address

	1 person - member/accredited firm: £90 + VAT

	1 person - non-member: £125 + VAT

	Small office (2-6 people): £170 + VAT

	Large office (7 people or more): £200 + VAT

	Whole organisation (All staff at all offices): £450 + VAT

Important information
CPD points will be awarded ONLY to the number of people who registered and viewed the seminar. A CPD signing list will be sent to each registered main contact after the webinar via e-mail. An acknowledgement of the booking will be sent via e-mail, together with the relevant log-in details.

I enclose a cheque for

payable to APIL

Please charge my credit/debit card with the amount of

My card number is:

Name on card	Valid date	Expiry date
Address		Security code
	Signature
	Date

By registering for this event, you are confirming that you have accepted APIL’s terms and conditions which can be found at www.apil.org.uk/terms-and-conditions

Please return your completed form to: APIL, 3 Alder Court, Rennie Hogg Road, Nottingham, NG2 1RX
Tel: 0115 943 5400 | Fax: 0115 958 0885 | Email: [email protected]