HELEN STEPHENSON WORKSHOPS

BOOKING FORM

Name of workshop or retreat: .........................................................................................

Date of workshop or retreat: ...........................................................................................

Name: ……………………………………………………………………………..…………………..

Address: ……………………………………………………………………………………………….

……………………………………………………………………………………………………………….

Postcode: ……………………………………………………………………………………………..

Tel: ……………………………………………………………………………………………………….

Email: ……………………………………………………………………………………………………

Signed: …………………………………………………………………………………………………

Date: …………………………………………………………………………………………………….

1 DAY NON-RESIDENTIAL WORKSHOPS - please pay in full with this booking form

2 DAY NON-RESIDENTIAL WORKSHOPS - please pay a deposit of £35

Please note cheques are made payable to Helen Stephenson. Cancellation 7 days prior to the start of a workshop will incur an administration cost of £10 and less than 48 hours prior to the start will incur the loss of the full amount, unless someone can take your place.

Helen Stephenson, The Well, Newport Road, Willen Village, Milton Keynes, MK15 9AA

Tel: 01908 300 557       Mobile: 07548 366 601

Email: helenstephensononline.co.uk