AS AGM FORUM 25th November 2016 Booking

Acupuncture Society November 25th 2016 AGM/Forum Booking Form
After submission of this form you will be directed to PayPal to pay our £30 Booking/Certification fee. This can be paid by either your PayPal account, Visa or Mastercard.

This AGM Forum Event is from 3pm to 7pm on the 25th November 2016. Following your attendance a CPD certificate will be posted to you within 2 weeks.
Full Name (as you wish it to appear on your attendance CPD certificate)*

First NameLast Name
Full Postal address with postcode (must be acurate and complete)*
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E-mail*
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Acupuncture Society Agm Forum Payment 25 November 2017£30.00

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Acupuncture Society November 25th 2016 AGM/Forum Booking Form