Booking Form
12th September 2014
Supporting Breastfeeding Mothers: A day with Catherine Watson Genna, BS, IBCLC
Venue: The Riverside Centre, Riverside Court, Pride Park, Derby DE24 8HY
*First Name
*Surname
*Address
*Postcode
*Telephone
*Email
*Occupation
* IBCLC? Yes
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.
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.
Day
9.15am-2.45pm
Day + Masterclass
9.15am-4.30pm
Masterclass only
From 2.30pm-4.30pm
* TOTAL PAYABLE
Early Bird rate
(ends 31st July)
Standard rate
from 31st July
£48
£55
£63
£70
£20
£25
£
£
*Payment method? (Bank transfer or cheque):
ACCOUNT NAME: Breastfeeding LENS Ltd - SORT CODE: 40-38-22 - ACCOUNT NUMBER: 21488996
Please complete & send this booking form to: events@breastfeedinglens.co.uk
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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 28th August at the discretion of the organisers.
Cancellations will only be considered if requested in writing and received by 31st July 2014. An administration fee of £20 will be
charged. No refunds will be given after this date.
Substitutions will be accepted at any time (please let us know so we can adjust name badge etc)
(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 can provide a group booking form.
We would like to send you more information about future Breastfeeding LENS events, you may opt out at any time.
If you wish to opt out please indicate here
Exclusive offer for Breastfeeding LENS’s own MotherBaby Together peer supporters & facilitators only,
£5 discount per person. (We will contact each project with details.)
© Breastfeeding LENS Limited 13.06.2014
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Supporting Breastfeeding Mothers: A day with Catherine Watson Genna, BS, IBCLC
Venue: The Riverside Centre, Riverside Court, Pride Park, Derby DE24 8HY
I have booked and paid for
Breastfeeding LENS Limited
Email enquiries to: events@breastfeedinglens.co.uk
Date sent
12th September 2014