Expedition Wise Medical

Booking Form (Cheque)

Send cheques, payable to 'Expedition Wise', to:

Rock House
Rock Place
Coedpoeth
Wrexham
LL11 3RS

(Please include your name, contact telephone number, course and course date with the cheque)

* Name
Company
* Address

* Town
* Postcode
Country
Landline Telephone No.
* Mobile No.
Fax No.
* Email Address
* How did you hear about Expedition Wise Medical
Booking Information
* Course Date	See Dates & Costs page for available course dates *N.B. After sourcing the date, please return to this booking form by using the 'Back' button on your browser. This will retain the information you have entered on this form.*
* Course and cost per participant
* Number of people in group
Comments (If you require an invoice, please mention this in the comments box - thank you)
`*`Enter the image code:
	I have read the contract and accept the terms *
	Contract (PDF file)
	Please calculate the amount and note it down before submitting the form. Send cheques, payable to 'Expedition Wise', to: Expedition Wise Medical Rock House Rock Place Coedpoeth Wrexham LL11 3RS (Please include your name, contact telephone number, course and course date with the cheque)
	*Required Fields

Course Location Map (Coedpoeth Parish Hall, Wrexham, LL11 3TD)