WILDLIFE TRAINING 2009

I would like to book a place on the above training scheme

Name: ……………………………………........................………….............

Address: …………..............……………………………..................................................................................……..

……………………………...............…………………..…...........................................................................................…

Postcode: ……………………………………….

Tel No: .............................................................

Student's Name: ...........................................................................

My preferred date: : ..................................................................

	Amount: £60/day £280/5days. (cross out whichever does not apply)
	Enclosed: Cheque Postal Order - ( payable to “The Sanctuary Wildlife Centre Ltd”)
	I wish to pay by: Visa Mastercard Other
	Card Number: ………………………….....................…………………….
	Cardholder: .......................................................................................
	Valid from: ……………………………………… Expiry date: ……....…………………………

Send to:

The Sanctuary Wildlife Care Centre Ltd

Crowden Hill Farm

Ulgham

Morpeth

Northumberland

NE61 3NH

(IPS 29697R)