Selves in Action      
Booking Form Bristol March 2012                 
  

tickbox I would like to participate in the workshop "Selves in Action" in Bristol (March 17-18 2012)

tickbox I enclose a deposit of £30

tickbox I enclose the early bird fee – £120 (prior to February 3rd 2012)

tickbox I enclose the full fee -- £155*

tickbox I enclose the concessionary fee -- £99

tickbox I enclose the retake fee* -- £99*
* 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).

 

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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