Title of the Organisation*
Number of participants*
Seating Arrangements Requested*
Theatre styleHorse ShoeBoard room StyleWorkshop with tables
If you have requested a workshop with table set up how many tables are you requesting and how many participants do you wish to be seated at tables
I wish to receive information about further courses that may be of interest:
By ChequeBy CashBy InvoiceBy Electronic Fund Transfer
Bank Address: Bank of Ireland, 125, O’Connell Street, Limerick.
Account Name: Milford Hospice
Account Number: 55652276.
Sort Code: 90-43-09.
IBAN: IE35 BOFI 9043 1755 6522 76
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