Promotional Materials Request Form

Please ensure you have registered your event before completing this form. Thank you.

Please note items will be sent no later than 2 weeks after this request form has been submitted. If you do not want to receive your items until nearer the time of your event please do not complete this request form until you want the items. The latest we advise you to request items is 2 weeks prior to your event to ensure delivery in time. Thank you!

Once you have registered your event and ordered promotional materials don't forget to look at the National Pathology Year Organiser Pack for information and advice on promoting, running and evaluating your event.

	Name of Event Organiser *
?	Email Address of Event Organiser *
?	Name and Date of Event *
?	Which promotional materials do you require? *	National Pathology Year Booklet National Pathology Year Poster National Pathology Year Fuzzy Bugs Careers in Pathology Booklet Careers in Pathology for Medical Students Booklet
	How many people do you expect to attend your event? *
?	Comments
	Person the items should be delivered to *
?	Delivery Address *
	Delivery Address
	Delivery Address
	Town *
	County *
	Post Code *
	Country *
?	Special Instructions for Delivery

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