Online Booking

Please fill out the form below to book on to a course, stating your payment preference.

Havens Hospices welcomes delegates from outside the organisation to attend its Education, Training and Development courses.

If you would prefer to make a booking via the telephone please call 01702 426248, fax the booking form to 01702 556712 or e-mail education@havenshospices.org.uk

Course *

Title *

Name *

Surname *

Address *

Line 1 *
Line 2
Town *
County
Postcode *
Country

Phone number *

E-mail *

Organisation

Number of places

Dietary Requirements

Special Needs to aid training

Payment

Purchase Order Number

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