Application Form: Working With Psychosomatic Disorders


For bookings kindly contact either Mr. Laner Cassar (mob. 99452698 / email lanercassar@yahoo.co.uk ) or Ms. Christiane Sullivan (mob. 99473456 / email christiane.sullivan@vanilla.net.mt )

Name:

Profession:

Qualifications:

Organization:

Address:

Email address:

Tel nos:

Why have you chosen to apply for this course?:



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Date and Time: Saturday 26th and Sunday 27th January, 2008.

(1030hrs – 1800hrs)

Price: €139

Venue: The Victoria Hotel, Gorg Borg Olivier Str., Sliema

Payment by cheque is to be made to CPD (Malta), C/O Christiane Sullivan, No 33, Main Str., Gharghur NXR 07.

Applications must be received by Monday 21st January, 2008. No reservations will be accepted without payment.

Cancellation policy: CPD (Malta) reserves the right to cancel the workshop should minimum numbers not be reached by the closing time for applications. In the event of participant cancellation within the last postal week before the course, the fee will not be refunded.

Data Protection: The data on this form will be used for administration of this event and retained for future marketing.

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