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Registration Form

Training Photovoice and Most Significant Change

25 to 28 November 2019, The Netherlands.

Title

Mr.

Ms.

First name

Family name

Organisation

Organisation or company you are working now

Current position

Position within the organization/company that you work for

Address

Postal code

City

Country

Telephone number

E-mail address

Invoice address

Same as above

Other

If you are participating as part of your work and would like us to invoice your organisation other than yourself for your participation in the training click on other and provide the invoice information we need.

Invoice company

Invoice address

Invoice postal code

Invoice city

Invoice country

VAT Number

if applicable

Profile

To help us understand a little bit more about yourself please tell us about your work and why you are interested in this training.

Special dietary

Please fill in if you have a special dietary need and or other additional need

How did you find out about our training? Please tick all relevant boxes.

RIH Website

From a colleague

From someone who previously participated in RIH training

From a friend/relative

Through mailing list

Other

Photovoice

Please describe your experience with Photovoice (if any)

MSC

Please describe your experience with MSC (if any)

Consent

Yes, I agree to the Terms and Conditions

Yes

honing

Evidence, Innovation and Practice

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