© 2007 Fermanagh Womens Network. All Rights Reserved.

Register Online
You can register by filling in an online registration form below. Please insure you enter all your deatils in the boxes provided.
You can also register by Downloading Our Registration Form
Registration Form
 Personal Details
 Full Name:
Organisation:
 Address:
 (include postcode)
 Town:
County:
 Postcode:
  Tel:
Website:
 Mobile Tel:
Email:
 Course Information
 Course Title (please state if accredited):
 Experience
 Qualifications (if necessary)
 Cost Per Hour :     Travel Costs: :

 I am willing to work in areas within a radius of miles from the address given above.

Maximum Group Numbers:
Minimum Group Numbers:
Availability (Please circle all that apply):
Yes No
Facilities/Equipment Required
Additional Information
Please use this space to provide any additional information which you feel may be relevant..
I understand that my details will be made available to groups and individuals making enquiries for this purpose through Fermanagh Women’s Network and this information will be published on Fermanagh Women’s Network’s website.
Signature 
               Date
Intec Centre, 36 East Bridge Street, Enniskillen. Co Fermanagh BT74 7BT
Registered charity number: X026394
Tel: 028 6634 3814    Email: fwnoffice@yahoo.co.uk
Company No.: NI134845