MLD Vodder Therapy 2 & 3 Review Courses 2019 Booking Form First Name (required) Last Name (required) Address line 1 (required) Address line 2 Town County Post code (required) Telephone (required) Mobile (required) Email (required) Date of Vodder 2&3 Training (required) Please send a copy of your certificate if you have not previously done so Date of Last Vodder Review Place of Last Vodder Review Select Date of Course you wish to book ---21/22 September 201923/24 September 2019 Will you bring your own couch? (A £10 course fee discount applies if you bring your own couch) ---YesNo Payment A non-refundable deposit of £50 is payable when booking and the balance of £ 235 (or 225 if you are bringing your own couch) is due on or before 30 July 2019. Please make your cheque payable to Lynda Carter and send with this form to: Lynda Carter, 155 Hanby Close, Fenay Bridge, Huddersfield, West Yorkshire, HD8 0FZ. Please ensure you write your name on the back of the cheque. I am unable to take card payments. Alternatively you can make a bank transfer to account 63090740 and sort code 60-02-18. Use your full name as the reference. Confirmation of your place and a receipt for your payment will be e-mailed to you. Thank you for your booking. I understand that when booking this course my name will be shared with the Dr. Vodder School in Austria for the purpose of filling in course completion certificates. I will keep your details securely until you ask me not to for the purpose of informing you about future Reviews, I will not share your data with anyone else. Please leave this field empty. Which is larger 2 or 15?