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Booking Form for First Aid Courses

First Aid Training

Lifespan Skills
First Aid & HSE Training and Assessing
Duke of Edinburgh Award Training & Assessing

Suzanne Hoddinott BSc(Hons) Ost. Med., DO. DPO. ND. MRN
Barn Cottage, Bonsey Lane, Westfield, Woking, Surrey. GU22 9PP

Tel. 01483 764582 Fax 01483 769648 Email: firstaid.course@tiscali.co.uk

FIRST AID - BOOKING FORM
Name: …………………………………………………………………………………………………………………………………………
Address:
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…………………………………………………………………………………………………………………………………………
Telephone ………………………………………………Mobile:…………………………………………………….
Email:……………………………………………………………………………….
Course Name:……………………………………………………………………… Total Fee: £…………………
Location:…………………………………………………………… Dates:……………………………………………………
Payment Details: 25% deposit is required at the time of booking. The balance is due 2
weeks prior to the start of the course. Cheques are made payable to S.Hoddinott. For
major credit/debit card payments (excluding American Express) please fill out the details below.
Card Number:………………………………………………………………………. Card Type:…………………………..
Card Holders Name:………………………………………………………………..
Security Code:……………….
Start date:…………………………….. Issue Number:………… Expiry Date:…………………………

Your signature acknowledges you have read the Terms & Conditions

Signature :………………………………………………………………………………



Suzanne Hoddinott BSc(Hons) Ost. Med., DO. DPO. ND. MRN
Lifespan Skills Registered in England & Wales Business Number 2247229
Registered Office; Somerset House, Temple Street, Birmingham B2 5DN




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