ࡱ> * ,          ! " # $ % & ' ( ) c bjbjzz ~]\~]\i  ~~8,F3fp:::$$$b3d3d3d3d3d3d3$I57B3$#"$$$3~~:X 3<'<'<'$^~:~8b3<'$b3<'<'V.-@-:TOn6Z%vn- N3303z-xA8%lA8--A8r.$$<'$$$$$33<'$$$3$$$$A8$$$$$$$$$ > D: Healthwork Course Booking Form Booking Confirmation Form, please complete and return to  HYPERLINK "mailto:kmannion@healthworkltd.com" kmannion@healthworkltd.com Kadie Mannion, Head of Customer Services, 16 St John Street Manchester M3 4EA Email:  HYPERLINK "mailto:kmannion@healthworkltd.com" kmannion@healthworkltd.com Telephone: 0161 831 9701 Course TitleHealthwork Vision Training CourseDates of CourseWednesday 6th December 2017VenueGreater Manchester Chamber of Commerce, Elliott House, 151 Deansgate, Manchester, M3 3WD  Company NameFull Address Please reserve course places for the following: NameJob TitleTel NumberEmail AddressGMC or NMC number (if applicable) The cost of this 1 day course will be 250 (plus VAT) per delegate. All course material, refreshments/lunch will be included and a certificate. (Please let us know of any dietary requirements) Payment Details (all course must be paid for at least 2 weeks before the course commences): Accounts Contact Name CONTROL Forms.TextBox.1 \s Invoicing Address CONTROL Forms.TextBox.1 \s Accounts Email Address CONTROL Forms.TextBox.1 \s  Purchase Order No (if Required) CONTROL Forms.TextBox.1 \s  Pay by credit/debit cardYes/No  Signature ............................................... ................... Date..............................................       HEALTHWORK - THE FIRST SEQOHS ACCREDITED OCCUPATIONAL HEALTH SERVICE Registered Office: 16 St Johns St, Manchester M3 4EA Registered in England No. 4925014. 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