Booking Form

Booking

Form

Perineal Suturing and

Perineal Care Workshop

Perineal Suturing and

Perineal Care

Workshop

Please return this form via email or post (with payment) to:

Peri Health Limited
3 Rowan Close
Queens Walk
Ashford (Surrey)
TW15 3JL

Email: info@perihealthlondon.com

Please note that no refund will be given for cancellations made within 2 weeks of the course date.

Booking Form

Name

Organization

Email Address

Phone Number

How did you hear about Peri Health workshops?

Fees Fees Course Fee £250

I wish to book for (Insert Dates)

I enclose a cheque for (payable to: Peri Health Limited) I enclose a cheque for (payable to: Peri Health Limited) I enclose a cheque for (payable to: Peri Health Limited) I have paid Peri Health Ltd, Santander Bank, Sort Code: 090128, A/C no: 73442773, Ref: your name

Amount Paid

Date Paid

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