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Booking Form


SECURE YOUR PLACE BY PAYING A DEPOSIT OR THE
FULL AMOUNT TODAY!
If paying a deposit the full balance will be required on the day of the workshop. Pay as you go facilities are available for large programmes - pay your deposit and we will send you a schedule for the balance
HOW WOULD YOU LIKE TO PAY?
To  pay  using Paypal Deposit Only £50
Full Fee Payment £150
For more details about Paypal see our Ways to pay page.
To pay by cheque:
Please enter your details in the spaces provided below.
Then print the form and send to:
Debra G Goldston, Clear Intentions,
1 Beeches Road, West Bromwich, West Midlands B70 6QE, United Kingdom
Course Title
Venue & Date

St Germain - Master Level
Athena - 21st October 2006

Name
Address
Telephone
Email
Fee: Deposit £50 Full fee £150
I enclose a cheque for £ made payable to
Clear Intentions