Microscope Registration Form

I /we would like to attend the course being held on

Sunday ?? - YES / NO
Course Fee £40 per person

Names of those attending:-

1.
2.
3.

Contact Details:-

Contact name:
Address
Post Code
Telephone number
Mobile number
Email address

Please make cheques payable to D.G.Parsons

I enclose a cheque for £

Send to D.G.Parsons, 77 The Down, Trowbridge, Wiltshire BA14 7NG

Or Book

- Telephone 01771644636

- Mobile 07811 155387

- email dgp@poultryhealthcentre.com

Please note a minimum of 6 people are required for the course to run