Course booking form-Lymphoedema Training

Course booking form

Which course are you booking?

Lymphoedema Rehabilitation Programme

1 Day Recertification (Review) - LTA Therapists only

2 Day - Initial Recertification (Review) - LTA Therapists only

Specialist Lipoedema Management

Advanced Management of Lymphoedema

Full Name

Phone Number

Current job title and company (where applicable)

Professional credentials, qualifications , experience and prior training:

HPCSA registration number (or equivalent)

Do you have any additional needs or requirements we need to be aware of, to support you with your training?

I agree to the Terms & Conditions on the website - https://www.lymph.org.uk/terms-conditions

To confirm your booking you are required to pay a non-refundable deposit amount of R3000.

This should be made payable to the bank account details below. You will receive a receipt of this payment within 3 working days and confirmation of booking immediately.

Account name: LTA:AFRICA

Bank name: FNB (First National Bank)

Account number: 63134551141

Branch code: 250655