BOOKING FORM

Chamonix, venue for WMT's winter & summer doctor's conferences

Barry Roberts' eye, taken by Dan Morris doing high altitude research on Everest

Giraffes outside of Nairobi

The snout of the Lewis Glacier, Mt Kenya

Lioness on patrol, Masai Mara

End of Chamonix conference summer '04 high rope group activity

Please complete this form and then arrange payment to confirm your place on any WMT course or conference. Leave any fields irrelevant to you blank. A Booking Form must be submitted whatever the method of payment. Full payment is required to confirm any course/conference place. You will receive an automated webpage response if you're form has been successfully submitted (not an auto-email). There's a SEND FORM button at the bottom.

Cheques are payable to Wilderness Medical Training. Send to: The Coach House, Thorny Bank, Garth Row, Kendal, Cumbria UK LA8 9AW

For bank transfers see Terms & Conditions for WMT's bank details.

Call WMT during office hours Tuesday - Friday with your CREDIT/DEBIT CARD details after you have submitted this form +44 (0)1539 823183.

All UK based course prices include VAT @ 17.5% and are non-residential unless otherwise stated. Places are available on ALL events unless otherwise stated.

Please use the CONTACT page for enquiries. Please only submit a booking form if you are in a position to confirm your place with full payment.

Your name (only one name per form) : as you'd like it to appear on your course certificate
Email address: mandatory field - type very carefully! If there's a typo your form won't reach us.
Contact telephone number:
Course/Conference applied for: *Far From Help Plus* 9-11 May** Buxton £340 -this special 3 day FFH PLUS programme includes full board and an extra half day of outdoor accident scenario training Far From Help Part 2/AMRFT Refresher 7-8 June Oxford £270 Expedition Medicine & Field Skills for Diverse Environments 23-26 June Chamonix £475 doctors (£350 others) Expedition Skills 5-11 July Lake District £795 camping/food included (£250 deposit accepted) Far From Help (Expedition Skills module) 8-9 July Lake District £295 Morocco Mountain Medicine Expedition 27 Sept - 3 Oct £750 Far From Help 27-28 November Oxford £240 Advanced Medicine for Remote Foreign Travel Oxford £460 Far From Help Part 2/AMRFT Refresher Oxford 29-30 November Chamonix Expedition Medicine Conference - January '09 dates pending A Taste of Expedition Medicine & Jungle Living SPRING 09 DATES PENDING Oxfordshire £TBC includes group camping equipment & meals Details pending
Previous first aid training or medical education/qualifications (if any):
Chamonix & Morocco event applicants only - your job at the time of the event
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PAYMENT METHOD: any payment indicates acceptance of WMT's Terms and Conditions. WMT's bank details are on the Terms & Conditions page. Tick only 1 payment option.
I have read and agree to WMT's Terms & Conditions which includes NO REFUNDS UNDER ANY CIRCUMSTANCES
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If you'd like to pay by credit/debit card, please tick this option and call WMT during office hours or EMAIL OR FAX your name, billing address, 3 digit security number, card number and start/expiry date to +44 (0)1539 823183. No surcharge is made for card payments. Amex & business credit cards not accepted. Card payments are not taken unless a booking form has been received.
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