APPLICATION FORM
NAME .........................................................................…………
ADDRESS .........................................................................…………
.........................................................................…………
POSTCODE .........................................................................…………
TELEPHONE Home ...............................................................………..
Work ................................ Mobile ................................
QUALIFICATIONS AND PREVIOUS TRAINING …………………………..
……………………………………………………………………………….…...
Please register me for the seminar on ALLERGY & TOXICITY – Causes, Diagnosis & Treatment to be held on 25/26/27/28 October 2006
I enclose a cheque for £80 as a non-refundable deposit, the balance of £400 to be paid
on the first day of the course £
OR
I enclose a cheque for the full course fee of £480 £
Please make cheques payable to ARK INTERNATIONAL TRAINING SEMINARS
SIGNED .........................................................................
DATED .........................................................................
NB Payment must be made
in £ sterling. Overseas applicants
should order from their bank a sterling cheque for the amount due, made payable
to Ark International Training Seminars, and send it to us at the address
below. We regret that we cannot accept
other forms of overseas payment.
Please send your completed application form and payment to:
ARK INTERNATIONAL TRAINING SEMINARS
144 CLOUDESLEY ROAD
ISLINGTON
LONDON N1 0EA TEL/FAX: +44
(0)20 7833 3454