TRAVELLING HOMOEOPATHS COLLECTIVE
Registered Charity No: 1063247
Registered Address: 3 lower Pertwood, Hindon, Salisbury Wiltshire SP3 6TA
Tel: 01747 820-638, E-mail info@thc.org.uk
| PERSONAL DETAILS | |
|
Name |
|
| Home Address | |
| Home Telephone | |
| E-mail address | |
| QUALIFICATION DETAILS | |
| College attended | |
| Full time/Part time | |
| Year graduated | |
| Insured with | |
| Membership number | |
| Number of years of practice | |
| CLINIC DETAILS | |
| Address | |
| Telephone | |
| Address | |
| Telephone | |
Please return to Marcus Christo at the above Address enclosing a cheque for £25 and copies of your qualifications and current insurance certificates.