Enroll your Practice in the EGS Surveillance Scheme

By registering your details you will register your practice's interest in the scheme and shortly receive more information about the scheme and how you can help. You will also receive a copy of the quarterly EGS Newsletter by post or email if you choose to do so.

Practice Name:

Name of Practice Contact:

Position at the Practice:

Practice Address:

Town: Region/County:

Postcode:

Contact E-mail address:

I am :
- Interested to receive a copy of your newsletter
- Not interested to receive a copy of your newsletter        

Do you need more than one copy of the newsletter, eg: for other practice members?
If so, how many?

How would you prefer to receive the Newsletter? E-mail Post

Our Practice is:
-Small Animal
-Large Animal
-Equine
-Mixed (large & small)
-Other: Please state

I would like to enroll my practice in the EGS Surveillance Scheme


To unsubscribe please send a blank e-mail with REMOVE in the subject to maire.o'brien@aht.org.uk
you will be acknowledged when the request has been dealt with.