Imperial College London Diabetes Centre Abu Dhabi
Payment and Booking Page for the Advanced Diabetes Course.
The full fee for this course is AED1400. You can either book by printing out this page, filling in this registration
form, and sending it together with your payment to ICLDC at the address below, or you can pay online via Hammersmith Medical Courses and Paypal, by clicking on the "buy now" button below.
Advanced Diabetes Sept 26-27 2014 AED 1400 online=£248 sterling
Please print out and fill in, and then send this form to
send or take it to ICLDC.
If you want a WORD version of this form, please click here.
If you want a PDF version of this form, please click here.
Your e-mail address:
Your telephone number:
Send or bring this form to:
Imperial College London Diabetes Centre - Abu Dhabi, UAE. Telephone: 00 971 2 404 0800
Imperial College London Diabetes Centre - Al Ain, UAE