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Online registration for HEFT Quiz Night

Register here if you want to sign up your team for the HEFT Quiz on Thursday 30 March 2017 at Birmingham City Football Club.

Doors open: 6:30pm

Quiz starts 7.30pm

Teams of 10 (with two non-Trust team members allowed in each team). £6.50 per person, which will include quiz entry and food or £3  for quiz entry only.

For further information, please contact Natalie Ryan, Events Manager, on 0121 424 1811 or natalie.ryan@heartofengland.nhs.uk

 

    Name of your Team (required)

    Team Member Name1 (required)

    Team Member Name2 (required)

    Team Member Name3 (required)

    Team Member Name4 (required)

    Team Member Name5 (required)

    Team Member Name6 (required)

    Team Member Name7 (required)

    Team Member Name8 (required)

    Team Member Name9 (required)

    Team Member Name10 (required)

    Main Contact Name (required)

    Main Contact Email (required)

    Main Contact Telephone (required)

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