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Pharmacy taster day booking form
1. Partnership Division
Access and Widening Participation
BOOKING FORM
We are interested in attending the (event)
on (date) at (campus)
Please reserve spaces for the following students:
First Name Surname Year Group Date of Birth Postcode Gender
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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Tutors Name: Position:
School / College:
Tel: Email:
Please complete and e-mail your response to H.Charlesworth@gre.ac.uk for Avery Hill or Greenwich
Campus events or L.Lowrie@gre.ac.uk for Medway campus events. If you have any queries telephone
Helen - 020 8 331 9793 or Leanne - 020 8 331 8586.