MLD Vodder Level 3 Booking Form 2021 (Previously known as Therapy 2 & 3 Review Courses)

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)

* Select Date of Course you wish to book

Please send a copy of your certificate if you have not previously done so

Date of Last Vodder Review

Location of Last Vodder Review

Will you bring your own couch? (A £10 course fee discount applies if you bring your own couch)

Payment

A non-refundable deposit of £50 is payable now to secure your place. The balance of £235 (or £225 if you are bringing your own couch) is due 8 weeks before the start date of the course.

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. Please note I am unable to take card payments.

Alternatively you can make a bank transfer to account 63090740 and sort code 60-02-18. Use ensure you use full name as the reference. Confirmation of your place and a receipt for your payment will be e-mailed to you.

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?