Selves in Action      
Booking Form                  
  

tickbox I would like to participate in the workshop "Selves in Action" in Bristol – please put me on your list.

tickbox I enclose a deposit of £40

tickbox I enclose the full early bird fee – £160 (paid in full 6 weeks in advance)*

tickbox I enclose the review fee – £120

tickbox I enclose the early bird balance of £120 (paid in full 6 weeks in advance)*

tickbox I enclose the full fee -- £200*

tickbox I enclose the concessionary fee -- £150

tickbox I enclose the retake fee -- £100

** Please confirm that places are available by email before booking
* 20% discount if paid six weeks in advance


Name

 

Address

 

Telephone

 

E-mail


Please make cheques payable to J Adrian Longstaffe -- refunds will be offered on cancellations prior to six weeks in advance subject to a retained booking fee of £15. Fees are otherwise non-returnable -- if you are unable to attend for any reason, we can offer a future workshop at a 50% discount (fees returnable in full if we cancel the workshop).

Updated 02/04/17

Please return to:
Adrian Longstaffe
24 Clifton Wood Road
Bristol
BS8 4TW

Tel: 0117 926 2456
Email: adrian@interactive-consultancies.co.uk

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