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Waterbirth - The Rising Tide Workshop - 2012 - Postal Registration Form |
Please print this form, complete it, enclose a cheque for $185.00 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:
Friday 4 May 2012
Venue: Motel Sierra, 26 Western Hills Drive, Whau Valley, Whangarei
Friday 14 September 2012
Venue: Birthspirit Cottage, 15 Te Awa Road, Tamahere (between Hamilton and Cambridge).
Name:
.........................................................
Address: ..........................................................
..........................................................
..........................................................
E-mail: ........................................................................
Ph: .........................................................
Please
circle one: Employed /
Self employed
Midwifery
Council Registration No. ........................................................
If
you wish to speak to someone about the workshops, please phone Maggie
Banks on 07 856 4612, or email her at maggiebanks@birthspirit.co.nz
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