Artemisia Lecture Registration Form

If you would prefer to print and post your registration form, you can download it here.

* indicates obligatory field

Name of Lecture *

Date of Lecture *

Your name *

Address (Line 1) *

Town *

County *

Country *

Postcode *

Number of people for the lecture?

Would you like to join us for lunch?

Yes

Number of people for lunch:

Do you need an exhibition ticket? (N.B. We can only book exhibition tickets for those attending the lecture)

Yes

Number of exhibition tickets required

Email *

Confirm Email *

Home Phone Number*

Mobile Phone Number *

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You will get a "thank you" message on this page once this form is successfully submitted if you have any problems please email Charlie, so we know you want to join us.

Once you have submitted this form, you will be sent the means of payment for the fees. In order for your place to be totally secure, we must receive payment within 7 working days of the date of submission. If you would rather send a cheque then please make it out to AHA Courses Ltd and post to the address below.

The Red House, 1 Lambseth Street, Eye, Suffolk. IP23 7AG57501

Artemisia Lecture Registration Form

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