Thank you for your interest in attending the one day workshop with Itiel Dror, on 27th September, 2007. 
 
To hold your place, please complete the following. We will contact you for payment details once the venue and other arrangements have been finalised.

* First Name

* Last Name

* Organization

* Address 1

* City

* Post Code

* Email Address

Your privacy: these details are being taken solely for the purpose of holding a place at the workshop on 27th September. We will not use them for any other purpose.

* Indicates Response Required