Healthy Hoof provider training

Monday 12 – Wednesday 14 March 2018 - Rangiora, North Canterbury

 
Contact Details:
 * Compulsory field 
 
First Name*
 
 
Last Name*
 
 
Mobile phone*
 
 
Email Address*
 
 
Organisation*
 
 
 
Address Line 1 (e.g. 123 River Road)*
 
 
Address Line 2 (e.g. RD 1)
 
 
City (e.g. Matamata)*
 
 
Post Code*
 
 
 
 
Expertise*
 
 
If other, please specify
 
 
 
I have attended a 'Stamping out Lameness' workshop *
 
Yes
No
 
 
 
 
 
 
Comments and/or dietary requirments:
 
 
Payment details:
 
Payment before the 26 February is required and an invoice will be emailed out.
 
Please advise us on who will be making the payment:*
 
 
 
 
If it is your workplace, please provide their contact information: 
Email Address
 
 
Contact phone number