Spirometry Training Course Registration Form ❑
YES! I would like to attend the Spirometry Training Course.
Please book me in for the course on 23 and 24 October 2018, Hamilton COST: $580 per participant excl GST TIME: 9am – 4pm both days Lunch and light snacks provided Venue: Juke Box Diner Conference Room (upstairs), 11 Railside Place, Dinsdale Hamilton. MY DETAILS Name: Company/ Organisation: Position:
Address:
Phone:
Mobile:
Email for participant: Email and person to send invoice to: Dietary Requirements: Does your organisation have its own spirometer?
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Thank you for registering – please email this form to: sheryl.long@asthmawaikato.org.nz
Asthma & Respiratory Services (Waikato) Inc 67 Claude St, Fairfield, Hamilton 3214 | PO Box 7013, Hamilton East, Hamilton 3247 P 07 838 0851 | info@asthmawaikato.org.nz
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