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a registration form - REGISTRATION FORM

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					                                   NIHSSIS




             Conference Registration Form
       “Equality and Bilingualism – for a Healthier Society”
                Date: Wednesday 21 October 2009

                        Time: 9.30am – 16.00pm

    Venue: Newry Town Hall, Bank Parade, Newry BT35 6HR
Registration Details                             This Conference is free of Charge and
                                                 welcomes all the NIHSSIS Interpreters, the
Name: ____________________________               Health Sector Practitioners and Staff and
                                                 other organisations/ individuals interested.
Organisation:_______________________
__________________________________
                                                 Please see Programme for details
Address: __________________________
                                                 Please return completed forms by post or e-mail to:
__________________________________
__________________________________               Ligia Parizzi –
Telephone: ________________________              ligia.parizzi@belfasttrust.hscni.net
Fax:______________________________
E-mail:____________________________              Northern Ireland Health and Social Services
                                                 Interpreting Services
                                                 Belfast Health and Social Care Trust
Please state if you have any dietary or access   1st Floor, Graham Clinic
requirements:                                    Knockbraken Healthcare Park
                                                 Saintfield Road
                                                 Belfast
                                                 BT8 8BH
                                                 Registration Forms to be returned by Friday, the
                                                    th
                                                 16 October 2009

				
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