BOOKING FORM FOR PESSO 3 DAY COUPLES WORKSHOP With Al Pesso on 30th 31st March and 1st April In Lewes in Sussex

NUMBERS ARE LIMITED SO PLEASE CHECK AVAILABILITY BEFORE BOOKING BY EMAILING Juliet on inter.action@virgin.net.

Your place will be considered booked when the monies are received

TICK WHICH ONE APPLIES: Please send this booking form with cheque. We will ask you to bring food to share for lunch.

For a couple:

( ) £820 per couple including a structure booked by 14/1/08

( ) £920 per couple including a structure booked after 15/2/08

N.B. If it helps, please send me two cheques. One with todays date, to be banked now for £250, and one which is postdated to 15th February for £570

TOTAL AMOUNT OF CHEQUE……………………… Please make the cheque out to PBSP UK.

Send to Juliet Grayson, Courtyard House, Moynes Court, Mathern, Monmouthshire NP16 6HZ

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EMAIL

PHONE NUMBER (DAY)

PHONE NUMBER (EVENING)

PHONE NUMBER (MOBILE PHONE)

I WOULD LIKE A CERTIFICATE OF ATTENDANCE FOR CONTINUOUS PROFESSIONAL DEVELOPMENT (CPD) Please tick if required.

PLEASE NOTE ANY SPECIAL NEEDS HERE

N.B. Cancellations made at less than 45 days notice will be charged for in full

This event is being organised by Inter-action Training.

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