BREATHING SPACE CONFERENCE - BOOKING FORM
Whichever form of payment you use, please cut and paste this form, fill in and send as a Word document OR print/copy it out, fill in and send through the post to the address below.I can also email you the booking form if you prefer.
Contact : jillteague@yahoo.co.uk
Name:
Whichever form of payment you use, please cut and paste this form, fill in and send as a Word document OR print/copy it out, fill in and send through the post to the address below.I can also email you the booking form if you prefer.
Contact : jillteague@yahoo.co.uk
Name:
Address:
Email:
Phone:
___________________________________________________________________________
Please indicate which
day/s you would like to attend:
Friday: Saturday: Sunday:
Workshop sign-up will take place at registration each day.
Workshop sign-up will take place at registration each day.
___________________________________________________________________________
Special Dietary
Needs:
Vegetarian: Vegan : Gluten
Free: Other:
___________________________________________________________________________
Special Access
Requirements:
Yes: No:
___________________________________________________________________________
Payment: See Fees/Payment page for details
Please send this booking form along with your cheque to: Jill Teague, Parc Bothy, Tan y Bwlch, Maentwrog, Gwynedd, LL41 3AQ
I enclose a cheque payable to Jill Teague for the amount of: £
OR BACS
Jill Teague
Sort Code: 30-91-12
Acc No: 06459596
for the amount of: £
Please remember to send this booking form to the address above.
____________________________________________________________________________
Signed:
Date:
OR BACS
Jill Teague
Sort Code: 30-91-12
Acc No: 06459596
for the amount of: £
Please remember to send this booking form to the address above.
____________________________________________________________________________
Signed:
Date:
