Chiesi F2F 2023 - Provisional Booking Form

Chiesi F2F 2023 – Provisional Booking Form

Thank you for requesting a Chiesi Face2Face 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 availability. We hope to be able to get back to you within 10 working days.

UK-RES-2302089 Date of Preparation: September 2023

Chiesi F2F 2023 – Provisional Booking Form

Form to be completed by Chiesi Representative to request a F2F Workshop

Name of Chiesi Representative(Required)

First Last

Email(Required)

Mobile Phone(Required)

Chiesi Region(Required)

Regional Manager(Required)

Proposed Date of Workshop(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)