Equine Acupuncture Referrals

Equine Acupuncture Referrals

Course Registration Form

Title
Forename
Surname
Qualifications
(Veterinary or Chiropratic)
Address
Telephone Number
Mobile Number
eMail
Special Dietary Requirements
I acknowledge that horses are unpredictable and I am attending at my own risk
 

Alternatively, you can download and complete a registration form and post it back to Sue along with your payment.

Please contact us for our bank details if you wish to pay via internet banking.

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