Chiesi F2F 2025 - Provisional Booking Form

Chiesi F2F 2025 – Provisional Booking Form

UK-RES-2500217 Date of Preparation: February 2025

Chiesi F2F 2025 – Provisional Booking Form

Form to be completed by Chiesi Representative to request a F2F Workshop. Thank you for requesting a Chiesi F2F Workshop. Please complete the details below at your earliest convenience. Once this information is received, Education for Health will liaise with our course facilitators to confirm course availability. We hope to be able to get back to you within 10 working days.

Name of Chiesi Representative(Required)

First Last

Email(Required)

Mobile Phone(Required)

Chiesi Region(Required)

Regional Manager(Required)

Proposed Dates of Workshop (several dates)(Required)

Please provide suggested dates – please be as flexible as possible, specify preferred days of week and preferred weeks and we will do our best to accommodate within your requested timeframe.

Proposed Location – town/city(Required)