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Birthspirit's Midwifery Skills for Emergencies Intensive
- 2010 Programme - Postal Registration Form
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Please
print this form, complete it, enclose a cheque for $570.00 made out to
Birthspirit Ltd., and post to:
Birthspirit, 15 Te Awa Road,
R.D. 3, Hamilton 3283, New Zealand.
Please
book me for the following:
- Midwifery
Skills for Emergencies November 3rd - 5th, 2010 (Wed - Fri)
Accommodation needed (please circle
one) Yes /
No
Please
circle one: Employed /
Self employed
Name:
........................................................................................
Address: .........................................................................................
........................................................................................
........................................................................................
Email: .........................................................................................
Phone: ........................................................................................
Midwifery
Council Registration No. ......................................................
If
you wish to speak to someone about the Intensive please phone
Maggie Banks on 07 856 4612
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