[ozmidwifery] Reg form for Lina Clerke Workshop.

[brendamanning]

‘Facilitating Instinctive Birth’ Workshop with Lina Clerke Registration form I need this completed & returned for definite numbers. Name _______________________________________________  Address ____________________________________________  ______________________  postcode ____________________ Phone number       __________________________________  E-mail _____________________________________________  Workshop date:19thOctober 2005 Time: 09:30hrs to 16:00hrs   Venue: Rosebud Hospital        Point Nepean Rd        Rosebud. 3939. Profession                      _____________________ How did you find out about the workshop? ____________ BYO LUNCH  Students: $20 Visitors: $50 Peninsula Health Employees: No Cost Amount paid                                 _________        Please make Cheque / Money Order payable to: ‘the midwife’ and send with this form to: Brenda Manning 79 Besgrove Street Rosebud. 3939 p/f: 03 59 862535 [EMAIL PROTECTED]   OR email form & Direct Credit fee via Netbank to: A/C No: 063540 10359680    You will receive a receipt (by mail or email ) which you need to present on the day as verification of booking & payment. Thank you & we will look forward to seeing you there for a great day !!   Brenda Manning www.themidwife.com.au

BEGIN:VCARD
VERSION:2.1
N:;brendamanning
FN:brendamanning
ORG:the midwife
TEL;WORK;VOICE:03 59862535
TEL;WORK;FAX:03 59862535
ADR;WORK:;;79 Besgrove St;Rosebud;Victoria;3939;Australia
LABEL;WORK;ENCODING=QUOTED-PRINTABLE:79 Besgrove St=0D=0ARosebud, Victoria 3939=0D=0AAustralia
URL;WORK:http://www.thhmidwife.com.au
EMAIL;PREF;INTERNET:[EMAIL PROTECTED]
REV:20050925T070451Z
END:VCARD