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 Teaching the Holocaust Three-­day Summer Course for Teachers 17,18 and 19 August 2015 Application form Print out and return signed together with payment to: Holocaust Education Trust Ireland Clifton House, Lower Fitzwilliam Street, Dublin 2 Telephone: + 353 1 669 0593 Email: [email protected] Please complete in BLOCK CAPITALS HOME CONTACT DETAILS WORK CONTACT DETAILS: Name: Place of Work: Address: Address: Telephone: Telephone: Mobile: Fax: Email: Email: Emergency contact: Name: Telephone number(s): Signature: Fee: €295 (includes lunches)
Cheques can be made payable to Holocaust Education Trust Ireland
or payment can be made directly to our bank, at
Holocaust Education Trust Ireland, AIB, 9 Terenure Road, Rathgar, Dublin 6
A/C No : 04343-034
Sort Code : 93-10-71
IBAN: IE62 AIBK 9310 7104 3430 34
BIC: AIBKIE2D