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Helen Bevan Workshop New Visions of Efficiency and Value:
Reducing healthcare costs whilst improving quality
1 :
Your Information
Title
eg Mr Mrs Ms Dr
Surname
Preferred First Name
Position
Organisation
Postal Address
Address line 2
Address line 3
Telephone
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2 :
Payment Information
Course amount is $550.00 (plus GST)
Please Invoice Me (tick box)
Post Cheque (details below)
Bank Deposit (details below)
Credit Card
Credit Card Information
(only if Credit Card is selected)
Card Type
Visa
Bankcard/MasterCard
Card Number
Name on Card
Exp Date
3 :
Register
Click to register
Cheque or Bank Deposit Information
Cheque :
Please print this form and post cheque to
P O Box 460
Rangiora
North Canterbury
New Zealand
Bank Deposit
Please deposit funds into
National Bank of NZ
Account Number: 060 665 0075795 00
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