Booking Form - RGF Courses/Workshops

Please print this form and fax to:
+44 (0)1202-841959
or post to:
The Richard Glyn Foundation Gaunts House, Wimborne, Dorset, BH21 4JQ
one for each course - one for each person


 

Please reserve a place for me on the course/workshop .............................................

PLEASE TICK ONE:
Residential     ....
Local           ....
Non-residential ....

Course Leader ................................. Course dates .....................................

ACCOMMODATION - I would like (PLEASE TICK ONE): 
to share a room 2/3beds                          ....
to share a double-bed room with................  ....
        single bedroom (extra)                   ....
        en-suite (extra)                         ....
        dormitory 4/6 beds (discount)            ....
        to camp (discount)                       ....

I enclose my deposit :		
 Course Fee:         £ ......... OR I am applying for a bursary .......
 less discounts        .........
                       .........
 plus extras           .........
                       .........
Total to pay           .........		
    deposit: x 20% = £ ......... OR I am paying in full 
                                    more than 1 month early .....
									
Please make cheques out to RGF-Gaunts. We can also take VISA and Mastercard 
payments - please phone (office hours only)

									
YOUR DETAILS
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PLEASE TICK ONE
MALE    ....
FEMALE  ....
COUPLE  ....

Name:      ................................................................
Address:   ................................................................
           ................................................................
Postcode:  ..................      Phone evenings	.......................
Best time to phone: ...........    Phone daytime    .......................

Please put me on your mailing list YES/NO
Is this your first time at Gaunts? YES/NO
How did you hear of us? 
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I have these questions:
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