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 20 & 21 September 2122 & 23 September 21 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) ---YesNo 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?