Fields marked with an * are required
Date of Course (if known)
Fee Payment *
Payments:
For direct credit (bank details): Arohanui Hospice Service Trust
Acc No: 12 – 3211 – 0033316 – 00
Particulars: Course Name | Reference: Your SURNAME
Cancellation
Any cancellation received within 24 hours of the course date will incur an administration charge of 20% of the course fee.

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