To register, please complete the following booking form. Include all requested information, particularly your hospital, e-mail address and contact telephone number with international dialling code. This information is very important for disseminating details prior to the start of the course.

Remember, the course dinner is included in your fee. This is a very nice way of socialising with your peers and the faculty on Wednesday evening of the course. The course organisers will be delighted if you are able to attend.

Please note, your place is not confirmed until your full payment in £’s Sterling is received by the Course Administrator. Please ensure any bank charges are paid in addition to the full course fee. If full payment is not received within 2 weeks of your application, your reservation will unfortunately be released as places on this course are in extremely high demand.


11th Manchester Sinus, Rhinoplasty and Nasal Plastics Dissection Course

Application Form

Date: 1st to 4th June 2020
Venue: Manchester Surgical Skills & Simulation Centre, Stopford Building, University of Manchester
Course Administrator: Mrs Natalie Whalley

Name of Applicant
Telephone (with code)
Current Hospital
Please select: Dissector - 4 days (£1350.00)

Dissector - 2 days: Rhinoplasty (Monday and Tuesday) (£750.00)

Dissector - 2 days: Sinus (Wednesday and Thursday) (£750.00)

Preference will be given to 4 day dissector applicants
Dietary requirements
Other special dietary requirements
Course Dinner (Included in fee)Yes, I will attend
No, I will not attend
Message or Comments
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