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Te Ara Whakapiri end of life care pathway
Name
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First name
Last name
Designation
Email address
*
Home phone or cell phone
*
Postal address
*
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Name of workplace
*
Work email address
Please indicate below which course date you are registering for. All courses are FREE OF CHARGE, but registration is essential.
Te Ara Whakapiri end of life care pathway
If you would like to attend please select a date
27 April 1430-1530 hours
24 August 1100hrs-12noon
23 November 1430-1530 hours
Thank You for your registration. Your work book will be emailed as soon as we have processed your form. For further information or Queries please email education@hospicesc.org.nz thank you.
Please check the highlighted fields
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