Training courses Jan.to May and Sept. to Nov. inclusive

Please print and complete application form and post or fax. to Canine Design ltd. Adelboden Lodge, The Lodge, 38 Donaghadee Road,BT19 6LM, Northern Ireland.
Fax: (00 44) 028 91883356


Course of Interest.......................................

Students Firstname.......................................

Surmame..................................................

Address..................................................

.........................................................

Town.....................................................

County...................................................

Telephone................................................

Mobile...................................................

Fax......................................................

Email....................................................

Method of payment........Credit Card..........Cheque.....

Credit Card Details
please complete the following if you wish to pay by credit card. (If you prefer to telephone your credit card details please tick here __

Card Type................................................

Credit or Debit card no..................................

Issue No: (switch only ).................................

Expiry date..............................................

Cardholders Name.........................................

Address if different from above..........................

.........................................................

Please give details of any...............................
medical disabilities,allergies...........................
personal dislikes,or any information.....................
that will help us to ensure your stay....................
with us is enjoyable.

Please read Terms and Conditions before submitting your application      # B1