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Speladd
NZ Inc With Q E C Continuing
Education presents
An introduction to Specific Learning Disabilites
and ADHD
Seminar March 2007
| Dates | Seminar
Information | Registration
REGISTRATION
FORM
Beginning Saturday 17th March 2007
Title_____ Surname__________ First name__________
Address______________________________________
____________________________________________
____________________________________________
Occupation_____________ School_________________
Phone: Home______________ Work_______________
Name for Lapel Badge___________________________
Have you attended any previous SPELADD seminars?
Yes / No
Indiviual Course registration .. $55.00 ___
Course fee does
include drinks but not food.
Introduction to SLD Course:
Full 5 day course ____ $55 full price.
Day 1 Saturday 17 March ......... @ $12 per day
Day 2 Saturday 31 March ......... @ $12 per day
Day 3 Saturday 21 April ........... @ $12 per day
Day 4 Saturday 5th May ............ @ $12 per day
Day 5 Saturday 19 May ............ @ $12 per day
Where possible full attendance requested.
Cheque enclosed: Yes / No
Receipt required? Yes / No
Registration closes: Friday 9th March 2007
Please return with payment to:
SPELADD
Box 1707
Palmerston North
Office use
Rec
Posted
Please print, & photocopy this form, and tell others about this
seminar. It is important.
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