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increase health & vitality
improve confidence
Mon 06 Feb 2012
text only version
booking form
Please note: by making a booking you are agreeing to our
terms and conditions
.
Fields marked
are required.
step 1: which course?
Course Title
Empowering Teenagers
Women at Work
Women Only
Individual Support
Corporate Training Course
step 2: your details
Your Name
Your Address
Contact Phone Number
Contact Email Address
Any Special Requirements
Please tick this box if a map of the venue is required.
Please tick this box if information on Park and Ride, for Ipswich, is required.
step 3 - please read the following information
When you submit this form, your booking request will be submitted to
Health World
for processing. This may take up to 48 hours. Once your place on the course has been confirmed, you will be contacted with a
payment reference number.
You may then pay by credit or debit card by visiting our
payment area
, making sure to enclose your payment reference number with your payment.
PLEASE DO NOT ATTEMPT TO PAY FOR YOUR COURSE UNTIL WE HAVE CONFIRMED YOUR BOOKING AND SENT YOU A PAYMENT REFERENCE NUMBER.
step 4: review & submit your booking
Once you are happy with your booking, please click the button below
once
to submit it for processing: