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Name: Organisation: Email address (essential for further details and confirmation purposes):

To book your place at this event, please complete and return this form to: I nflammatory Eye Study Day Booking Kim Redfern Uveitis Research Nurse Specialist, Clinical Research Department, Sheffield Children ’ s Hospital, Western Bank Sheffield S10 2TH Kim.redfern@sch.nhs.uk. Name:

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  1. To book your place at this event, please complete and return this form to:Inflammatory Eye Study Day Booking Kim RedfernUveitis Research Nurse Specialist, Clinical Research Department, Sheffield Children’s Hospital, Western BankSheffieldS10 2TH Kim.redfern@sch.nhs.uk Name: Organisation: Email address (essential for further details and confirmation purposes): Position: Booking for: Morning / Afternoon / Whole Day (delete as appropriate) To secure your place at this event, please also enclose a cheque for £20 in a sealed envelope with your name on. This will not be opened or cashed unless you fail to attend without prior cancelling your attendance (if after booking you are unable to attend, we will not cash your cheque if you let us know in advance). Please make cheques payable to ‘Sheffield Teaching Hospitals Charity’

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