Booking Form Review 2017 - The Lymph Clinic

Booking form Review 2019

Dr Vodder Manual Lymph Drainage CDT Review

PART 1

Optional Evening: Industry Workshops

Accademic Update
Friday September 13th 5.00-8.00pm

VENUE :

TBC

PART 2

Dr Vodder Hands on Review:

Saturday September 14th (8.30am to 5.30pm), Sunday September 15th (8.30am - 5.30pm), Practical Instructors: Prof. Hildegard Wittlinger & Maria Wittlinger
Cost : €320320 to those curently registered with MLD Ireland
€345 345 to non registered MLD Ireland members

MLD IRELAND REGISTRATION NO.

Name:

Address:

Profession:

Tel: (Day)

Mobile:

Email:

Date of last review:

PLEASE CONFIRM:

BRINGING MY OWN PLINTH ( €20 DISCOUNT) :YesNo
(IF YES SIMPLY DEDUCT FROM TOTAL COST)

ATTENDING THE GROUP DINNER SATURDAY EVENING: YesNo
(MAY BE PART OF HOTEL DEAL)

NB: PLEASE FORWARD WITH BOOKING FORM:

1. Evidence of electronic payment to:
The Lymph Clinic Ltd.
Branch: AIB Western Road, Cork
BIC/Swift Code: AIB KIE 2D / IBAN: IE85 AIBK 934194 30706069

2. Cheque should be crossed and made payable to The Lymph Clinic

3. A PayPal link can be provided upon request

NNB: Please forward online confirmation of payment with this form
OR
Online downloadable booking form via www.thelymphclinic.ie click on courses to access downloadable booking form

NNB: Please include your name on Narrative and email to confirm payment
OR

Online downloadable booking form via www.thelymphclinic.ie click on courses to access downloadable booking form

2. Copy of last review certificate or if first review, copy of original Dr Vodder Th 2&3 certificate OR CDT certification relevant to school .

( Your cert from this review will be scanned and kept on file until the next review)

Attach Qualification photocopies

Please send 1.completed form with 2.relevant certificates and 3. cheques (if not electronic) to: Meadbh Mac Sweeney; The Lymph Clinic, Suite 1, Cork Clinic, Western Road, Cork.
Tel.: 021/ 4347351 (Day)

Email :meadbh@thelymphclinic.ie or for more information check out www.thelymphclinic.ie

THIS REVIEW IS OPEN TO ALL LEVEL 3 DR. VODDER QUALIFIED THERAPISTS.

PLEASE BRING YOUR OWN SET OF BANDAGES AND 2 LARGE TOWELS
( bandages and foam can also be purchased on the day if nec.)

THERE WILL BE A ONE OFF FULL PAYMENT AND PLACE WILL BE CONFIRMED
ON RECEIPT OF PAYMENT

THANK YOU , LOOKING FORWARD TO ANOTHER GREAT REVIEW.

MEADBH

[paypalsubmit email:meadbh@thelymphclinic.ie currency:EUR itemamount:amount-reg-id return_url:https://thelymphclinic.ie/thank-you/ cancel_url:https://thelymphclinic.ie/contact-page/ "Payment"]

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