Breastfeeding LENS Limited 23rd April 2014 Booking Form

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23rd April 2014
Supporting Breastfeeding Mothers: A day with Nancy Mohrbacher
Booking Form
Venue: Northcliffe Church Hall, Hall Royd, SHIPLEY, Yorkshire BD18 3ED
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Surname
Address
First Name
Surname
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Please note, the WHO code, Global
Strategy, WHA resolutions prohibit
individuals employed by infant feeding
manufacturers from providing any
breastfeeding education to mothers.
Breastfeeding LENS Limited events
may not be used to support such work.
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Email
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Please indicate your Occupation Enter occupation here
I am a MotherBaby Together Peer Supporter* Yes/No
Breastfeeding LENS is delighted to be able to offer this event at a special low price.
The day fee includes all refreshments and lunch. This includes vegetarian options. Masterclass only includes refreshments.
(Please click to choose the relevant boxes)
*Exclusive rate for MotherBaby
Together Peer Supporters only
Day
9.15am-3pm
Day + Masterclass
9.15am-5pm
Masterclass only
From 3pm-5pm
TOTAL PAYABLE
£35
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£30
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£50
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£45
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£20
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£15
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Payment method: Choose payment method here
ACCOUNT NAME: Breastfeeding LENS Ltd - SORT CODE: 40-38-22 - ACCOUNT NUMBER: 21488996
Please complete & send this booking form to: events@breastfeedinglens.co.uk
Booking after 23rd March 2014 add £10 per person
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Payment may be made by bank transfer (please give delegate name as your BACS reference). This is our preferred option.
Where possible we will email your receipt. Paper receipts only with a stamped addressed envelope.
If you require an invoice please complete & send this booking form(s) to: events@breastfeedinglens.co.uk
Booking after March 31st at the discretion of the organisers.
Cancellations will only be considered if requested in writing and received by March 20th 2014. An administration fee of £20 will be
charged. No refunds will be given after this date.
Substitutions will be accepted at any time.
(If you require to pay by cheque; cheques are payable to Breastfeeding LENS Limited. Please return your booking form & cheque to:
Breastfeeding LENS Limited, 11 Priory Gardens Swanwick Alfreton Derbyshire DE55 1DU)
Email enquiries to: events@breastfeedinglens.co.uk
We would like to send you more information about future Breastfeeding LENS events, you may opt out at any time.
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✄ -------------------------------------------------------------------------------------------------- Cut here and keep --------------------------------------------------------------------------------------
Supporting Breastfeeding Mothers: A day with Nancy Mohrbacher.
Venue: Northcliffe Church Hall, Hall Royd, SHIPLEY, Yorkshire BD18 3ED
I have booked and paid for choose
Breastfeeding LENS Limited
Email enquiries to: events@breastfeedinglens.co.uk
© Breastfeeding LENS Limited 14.2.2014
Date sent
23rd April 2014
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