Book onto a workshop

To register for an upcoming workshop, please complete the fields below and submit. All mandatory fields are depicted with a *.

Name (person responsible for booking) *   Date of birth *   Job title *   Organisation name (including account code if known) *        Standard
 Subscriber
Email address *   Telephone number *   Address *       I’d like to book onto the following course: *   Number of attendees: *   Names of additional attendees (including email address and date of birth):  

For First Aid Courses only

Where are you travelling to?   For how long?(days/weeks/months)   Have you had previous first aid training?    Yes
 No
If yes, how long ago?   What concerns do you have about your overseas assignment?  

Dietary requirements

   

Payment

  I have been authorised to charge to my organisation’s InterHealth account.   I would like to pay by cheque   I would like to pay by credit/debit card  We will contact you through the email address provided above with your invoice. Where did you hear about this course?*     Add me to InterHealth's mailing list to keep up to date with future workshops & training    

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