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Laser Pen Headband
OPK Tape

Registration Form

Online seminar: Module 4 – Headaches & Orofacial Pain
Sunday, 5th March 2023; 9:00am – 5.30pm (BST)

Registration Fee: £135 (GBP) / €155 (EUR) / kr1700(NOK)

Name *

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Do you require an attendance certificate (sent by email after the seminar)?

Yes
No

If you have attended an online seminar with us before, you do not need to fill out the billing details below (unless they have changed).

I have attended an online module with Neuroseminars before.
This is my first online module.

Business Name (if applicable)

Business Number, VAT Number, NIF or CIF (if applicable)

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Telephone number

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