08.06.2014 Views

I inbjudan finns mer information - Region Dalarna

I inbjudan finns mer information - Region Dalarna

I inbjudan finns mer information - Region Dalarna

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

;LSS/ Anmälningsblankett Kursnum<strong>mer</strong>: 13/41<br />

anmäler nedanstående<br />

................................................................. deltagare till:<br />

Föreläsning för omsorgspersonal inom LSS<br />

2013-10-02<br />

Bollnäs Folkhögskola<br />

Anmälan skickas till<br />

Utbildningsavdelningen<br />

<strong>Region</strong> Gävleborg<br />

827 80 Ljusdal<br />

fax 0651-126 59<br />

tel 0651-180 00<br />

e-post utbildning@regiongavleborg.se Senast 2013-08-29<br />

Var god texta<br />

.......................................................................................................... ..........................................................................................................<br />

Förnamn<br />

Förnamn<br />

.......................................................................................................... ..........................................................................................................<br />

Efternamn<br />

Efternamn<br />

.......................................................................................................... ..........................................................................................................<br />

Befattning<br />

Befattning<br />

.......................................................................................................... ..........................................................................................................<br />

Postadress<br />

Postadress<br />

.......................................................................................................... ..........................................................................................................<br />

Postnr/ort<br />

Postnr/ort<br />

.......................................................................................................... ..........................................................................................................<br />

Tel<br />

Tel<br />

.......................................................................................................... ..........................................................................................................<br />

E-post<br />

E-post<br />

.......................................................................................................... ..........................................................................................................<br />

Specialkost<br />

Specialkost<br />

OBS! Viktigt att fakturaadressen överensstäm<strong>mer</strong> med de krav din kommun ställer inkl koder och referenser<br />

……………………………………………………………………………………………………………………………………………………………………<br />

Faktura adress<br />

……………………………………………………………………………………………………………………………………………………………………<br />

Adress<br />

………………………… ………………………………………………………………………. …………………………………<br />

Datum Underskrift Telefon

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!