Booking Form

Please use this page to book course places and place book orders.

  1. Please complete this form in full by typing in all your details. (Your writing is not as legible as you think!).
  2. Identify areas of study difficulty.
  3. Print off this booking page and sign it.
  4. Post it together with course fees (cheque payable to 'Ultramedicine') to the address given below.
  5. Check your email. We will email confirmation of your booking ASAP.

As the pre-course material together with details of course location and timetable are sent by post in the week before the chosen course date, please do complete your address.

Details (to be typed in before printing)

Please let us know if you have any special requirements e.g. dietary restrictions, physical disability.

Course/ fee list

Leeds Written Weekend Course

(Please send cheque for £65.00)

Ultramedicine Text Book

341 pages
Available now
Please forward payment (cheque to Ultramedicine) together with your address details to the address given below

(£20.00 plus £2.00 postage)

Areas of Study Difficulty

We are trying as far as possible to tailor the course to perceived student requirements. Please use the space below to choose three areas of personal study difficulty or anxiety (e.g. acid base disorders, blood gas analysis, respiratory failure or more general questions). We will choose areas where there is some general consensus.

Choose 3 areas of personal study difficulty

Terms of booking

  1. Cancellations:
    Greater than 4 weeks notice 90% of fee refunded
    Greater than 1 week notice 50% of fee refunded
    Failed to attend 0% refunded; unless exceptional circumstances subject to the discretion of the course organisers
  2. All ULTRAMEDICINE course material is the intellectual property of ULTRAMEDICINE. Distribution of this course material to any other person is strictly prohibited at any time either before or after the date of the course.
  3. Payment in full is required before acceptance onto the course and distribution of pre-course material.
  4. Although unlikely, it may be possible that a change of venue becomes necessary. This being the case all applicants will be contacted by email.
  5. The course fees includes (where applicable) the posting of all pre-course material, the course folders and interval tea and coffee.

I agree to these terms

Please complete the above and forward with a cheque, for the amount according to the course list above, payable to;

c/o Dr D. Cockshoot
Northgate House
Northgate Lane
West Yorkshire
LS22 4HS

Queries to 'davidcockshoot @ hotmail . co . uk'

Before you send your booking please check;

  1. Are your details typed?
  2. Is your email and postal address correct?
  3. Have you signed the booking form and your cheque?
  4. Have you put the correct postage value on your letter?