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Mission: To make health a top priority for everyone in Northern Ireland.

Booking form

Terms and Conditions

  • Confirmation of booking: upon receipt of training event fee, a letter confirming your place with further details and a map of the location will be sent to you.
  • Cancellation: 75% of the course fee will be reimbursed up to 14 days prior to the course. Fees are non-refundable after this date, but you may nominate someone to attend in your place.
  • Subsidised fees are only available to applicants in Northern Ireland and details can be given on request.

Training event details

Training event title

Training event dates (see here for details)

 

Your Details

First Name:
Surname:
Job Title:
Organisation:
Type of organisation:
Work Address:
Postcode:
Work Tel:
Work Fax:
Email:
   
Please specify any dietary or access requirements

 

Payment Details

Please mark the appropriate box.

I am forwarding a cheque for the course fee
(Cheques should be made payable to: Health Promotion Agency for Northern Ireland)

I wish to be invoiced Invoices should be settled within 30 days.
(Please indicate who should receive invoice)

Name:
Address:
Postcode:
Email:
Date:
   

 

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