Selves in Action      
Booking Form                  
  

tickbox I would like to participate in the workshop "Selves in Action" in Bristol – May 10-12 2024

tickbox I enclose a deposit of £45

tickbox I enclose the full early bird fee – £199 (paid in full one month in advance)*

tickbox I enclose the review fee – £150

tickbox I enclose the early bird balance of £154 (paid in full one month in advance)*

tickbox I enclose the full fee -- £250*

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


Name

 

Address

 

Telephone

 

E-mail


BACS details:

Name: Dr JA Longstaffe
Bank: Lloyds
Sort Code: 30-92-13
Account: 01961766

Refunds will be offered on cancellations prior to four weeks in advance subject to a retained booking fee of £25. 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 25/02/24

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

Tel: 07909 584613
Email: adrian@interactive-consultancies.co.uk

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