REGISTRATION FORM
SDCA Certification Course in London
Saturday, March 14th, 2015
Double Tree by Hilton Hotel – Tower of London
“The Extracorporeal Shock Wave Therapy
in theory and practice”
Please complete the application form below and return it to Marie-Christine Collet at
[email protected] or by fax at: +41 22 99 4738
Faculty:
Dr. Manoj Sood, Consultant Orthopaedic Surgeon, Hip, Knee & Sports Specialist, London
Paul Morrissey, Principle Osteopathic Clinic Physical Medicine Clinics Surrey
Registration fee: £ 75.00 including VAT made payable to EMS Electro Medical
Systems SA. This fee is non refundable and includes course materials, lunch and
refreshments.
Special 20% discounted registration fee of £ 60.00 for participants who are already
SDCA certified practitioners
Location:
Double Tree by Hilton Hotel – Tower of London
7 Pepys Street, London, EC3N 4AF – UK
Please contact the hotel directly to make your own hotel reservation at +44 207 709 1000 or make
your booking online.
I hereby register for the SDCA certification course "The Extracorporeal Shock Wave Therapy in theory and
th
practice" on Saturday, March 14 , 2015 in London.
Miss.
Mrs.
Mr. Title:
First Name:
Family Name:
Address Hospital/Surgery:
Name of Institution:
Occupation:
Address:
Postcode:
Country:
Phone:
Fax:
E-mail:
Date / Signature:
Conditions of participation: together with the confirmation of your registration you'll receive an invoice about the registration fee. This invoice must be paid in full two weeks before the course. No
refunds will be offered. Unfortunately, very unlikely situations cannot be excluded that could make it necessary to cancel an SDCA course, or postpone it to another date. In any case, the SDCA
cannot be held liable for (i) date, (ii) location, (iii) chairman, (iv) faculty, (v) content, (vi) performance and (vii) execution of an SDCA course. In case of lack of attendance or (personal) incapability of
the chairman or a faculty member, SDCA reserves the right to cancel or postpone an SDCA course, or move an SDCA course to another location. In case of cancelling an SDCA course due to
reasons SDCA is responsible for, prepaid registration fees will be refunded but any other claims against SDCA, the chairman and the faculty members of the SDCA course are excluded. In particular,
SDCA, the chairman and the faculty members of the SDCA course are not liable and responsible for any costs and expenses that may occur when canceling or postponing an SDCA course, or
moving an SDCA course to another location. SDCA is only liable and responsible for damage caused deliberately or through gross negligence. Anyway, SDCA is not liable and responsible for any
items lost during the SDCA course. Regulations valid as of January 2015.
Note: we will be taking photographs during the course for promotional and educational purposes. The photographs may be used for promotional purposes and online materials (advertising, enewsletters, websites). They may be kept for an unlimited period and may not be used immediately.
SDCA – Swiss DolorClast® Academy
C/O E.M.S. ELECTRO MEDICAL SYSTEMS SA –
Chemin de la Vuarpillière 31 – CH-1260 NYON – Tél: +41 (0)22 994 47 00
[email protected] / www.swissdolorclastacademy.com
Swiss DolorClast® Academy Certification Course
The Extracorporeal Shock Wave Therapy
in Theory and Practice
LOCATION:
DOUBLE TREE BY HILTON HOTEL – TOWER OF LONDON
7 Pepys Street, London, EC3N 4AF – UK
The DoubleTree by Hilton London – Tower of London is situated adjacent to Fenchurch Street
station in the heart of the historic City of London. The Financial District and London’s main tourist
attractions; Tower of London, Tower Bridge and The London Dungeon are a short walk from the
hotel. Oxford Street and the West End are equally accessible.
How to get to the hotel
The hotel is in close proximity to Tower Hill underground station, Tower Gateway and Fenchurch
Street train station (all within a 3 minute walk).
From City Airport to hotel:
Distance from Hotel: 7 miles
Drive Time: 30 minutes
Taxi - approx fare = £ 30.00
From Heathrow Airport to hotel:
Distance from Hotel: 21 miles
Drive Time: 75 minutes
Taxi - approx fare = £ 90.00
Metro/Underground – Best and quickest way : Heathrow Express Train - approx journey 20
minutes to London Paddington Station. From Paddington Station to hotel - Circle line to Tower Hill
Station or taxi ride – approx fare = £ 25.00.
Piccadilly line from Heathrow Airport, change at Hammersmith to District line, leave tube at Tower
Hill Station - the nearest station to the hotel. Journey Time - 90 minutes.
From Gatwick Airport to hotel:
Distance from Hotel: 31 miles
Drive Time: 90 minutes
Taxi - approx fare = £ 120.00
Metro/Underground – Gatwick Express Train – approx journey 30 minutes to London Victoria
Station, non-stop, every 15 minutes. From Victoria Station to hotel – Circle line to Tower Hill
Station or taxi ride – approx. fare = £ 18.00
SDCA – Swiss DolorClast® Academy
C/O E.M.S. ELECTRO MEDICAL SYSTEMS SA –
Chemin de la Vuarpillière 31 – CH-1260 NYON – Tél: +41 (0)22 994 47 00
[email protected] / www.swissdolorclastacademy.com
Swiss DolorClast® Academy Certification Course
The Extracorporeal Shock Wave Therapy
in Theory and Practice
LOCATION:
DOUBLE TREE BY HILTON HOTEL – TOWER OF LONDON
7 Pepys Street, London, EC3N 4AF – UK
DATE:
TIME:
LANGUAGE:
March 14th, 2015
9:00 am – 5:00 pm
English
PARTICIPANTS: up to 40 participants
FACULTY:
Dr. Manoj Sood, Consultant Orthopaedic Surgeon, Hip, Knee & Sports
Specialist, London
Paul Morrissey, Principle Osteopathic Clinic Physical Medicine Clinics Surrey
REGISTRATION: Registration form to return by e-mail at :
[email protected] to Marie-Christine Collet before March 9th,
2015
Please contact Marie-Christine Collet at +41 (0)22 99 42 601 or Chris Downton
at +44 (0)7469 241 209 for any questions.
REGISTRATION FEE:
Standard registration fee : £ 75.00
20% discounted registration fee : £ 60.00 for SDCA certified practitioners
Payment of registration fee by wire transfer :
Bank account number (GBP): 0251-502625-32-9 .......................................
Beneficiary: E.M.S. Electro Medical Systems S.A - 1260 Nyon - Switzerland
Clearing number: 4835 ...............................................................................
IBAN Code: CH88 0483 5050 2625 3200 9 ................................................
SWIFT Code: CRESCHZZ80A ...................................................................
Payment instructions:
Please specify your full name and "SDCA London 2015"
ACCREDITATION:
Upon completion of the course, participants will receive the Swiss DolorClast®
Academy certificate and will be added on the SDCA website
www.swissdolorclastacademy.com.
SDCA – Swiss DolorClast® Academy
C/O E.M.S. ELECTRO MEDICAL SYSTEMS SA –
Chemin de la Vuarpillière 31 – CH-1260 NYON – Tél: +41 (0)22 994 47 00
[email protected] / www.swissdolorclastacademy.com