Recommend a Friend Reward Scheme � Application Form by R8VDq9

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									Recommend a Friend Reward Scheme – Application Form

Please complete the following, sign and return to:
Robert Lambden
Scottish Community Mediation Centre
29 Albany Street Edinburgh EH1 3QN
or e-mail info@scmc.sacro.org.uk

Remember the closing date is 31st August 2012.

Your Details:
Name

Address




E-mail address

Name of Course you were on

Date (approximate if unsure)



Details of Friend:
Name

Address




E-mail address

By completing this form I agree to abide by the terms and conditions of this Scheme and
have approached my friend named above who has given permission to pass on their
details to the Centre. My friend will be booking/has booked a place on this course
(delete as applicable)


Signed:


Date:

								
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