NIHR PPIE Courses 2024 registration form

registration form

Patient and Public Involvement and Engagement (PPIE) in health and care research Summer School
Building partnerships through creativity and justice:

3-5 July 2024
Mercure Exeter Rougemont Hotel

Contact details

Title*

First name*

Last name*

Position*

Organisation*

Address*

Postcode*

Email*

Telephone*

General

Specific dietary requirements, eg vegetarian, vegan, gluten free, allergies
(if applicable please give details)

Other needs (if applicable, please give details)

Fees

(please select the appropriate box(es))

PPIE in Health and Care Research Summer School
£650.00

PPIE in Health Economics Research Course
£150.00

Payment

An invoice for your registration fee(s) will be sent with confirmation of your booking, including methods of payment.

Please give details of the invoice address required:

Send invoice to contact details above

Send an invoice to:

Invoice address

Name

Organisation

Address for invoice

Telephone

Purchase Order No (if required)

Payment has been made by BACS to the following account

Confirmation

Message (optional)

I have noted that a 20% administration charge will be applicable for cancellations for the PPIE in health and care research Summer School notified in writing before 18 June 2024 and that after that date the registration fee must be paid in full. I understand that cancellations must be confirmed in writing and acknowledged by the event administrators or I will be liable for the full registration fee.*

Data protection

Personal data submitted through this form is collected by Professional Briefings on behalf of NIHR PenArc. Professional Briefings’ privacy policy can be found here. The purpose of collecting this data is for recording registrations for the above events which will be managed by NIHR PenArc.

I have read Professional Briefings’ privacy policy and agree that I have understood.
Please tick box*

I agree that my email address can be included in the delegate list and circulated for networking purposes at the relevant event(s).* Yes
No

NIHR PenArc may arrange for photographs to be taken during the PPIE Summer School for use in future publicity material. Please indicate below whether you consent to being photographed for this purpose.

I consent to being photographed during the PPIE Summer School* Yes
No

I agree to be contacted regarding future PPIE Summer Schools and other related events* Yes
No

You may withdraw from the mailing list at any time by emailing penarc@exeter.ac.uk. Please use the subject header “PPIE Summer School – unsubscribe” so that we can deal with your request as promptly as possible.

registration form

Patient and Public Involvement and Engagement (PPIE) in health and care research Summer SchoolBuilding partnerships through creativity and justice:

3-5 July 2024Mercure Exeter Rougemont Hotel

Or

registration form

Patient and Public Involvement and Engagement (PPIE) in health and care research Summer SchoolBuilding partnerships through creativity and justice:

3-5 July 2024Mercure Exeter Rougemont Hotel

Patient and Public Involvement and Engagement (PPIE) in health and care research Summer School
Building partnerships through creativity and justice:

3-5 July 2024
Mercure Exeter Rougemont Hotel

Patient and Public Involvement and Engagement (PPIE) in health and care research Summer School
Building partnerships through creativity and justice:

3-5 July 2024
Mercure Exeter Rougemont Hotel