Remittance Slip for Seminar on Saturday 17th April 2010
COST - £65
Full Name  
Address  
   
   
Postcode  
   
Telephone Work  
Telephone Mobile  
   
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(We may contact you by email in the future. Your email address will not be passed to third parties.)
   
Signed  
Date  
Fee Enclosed  
   
Make cheques payable to Osteopathic CPD (Cheshire) and send with this form to;
Neil P. Harrison, 13 Dundonald Avenue, Stockton Heath, Warrington, WA4 6JT.
 

Payment must be received by 14th April 2010.
Receipts will be issued at the seminar.
Refunds will not be given after 14th April 2010.