BOOKING FORM

To book for the 2011 Residential Conference on Saturday 25th and Sunday 26th June 2011  please download this form and return along with your payment of £125:00 for the full conference or £15:00 for Sunday only (including lunch) to:

Frida Maria, Myrtles, Como Road, Malvern, Worcs WR14 2TH   Cheques to be made payable to Spirit Release Foundation.  Credit card payments can be made online through Paypal.  A PayPal payment is subject to a £4:00 booking fee. If you have made a payment through Paypal please send in your application form notifying us that payment has been made through PayPal.

Cancellation: Up to 25th May there will be a full fee refund less £10:00 admin charge per person.
After the 25th May and up to 10th June there will be a 50% refund and after the 10th June there will no refund.

For further details phone: 01684-560725 or 07789-682-420 email: unepoetesse@hotmail.com

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Booking Form 2011 Residential Conference. Saturday 25th and Sunday 26th June at Royal Agricultural College, Stroud Road, Cirencester, Gloucestershire GL7 6JS Tel: 01285 - 652531
(Please detach and enclose fee)

Please book me                   places for:

1. Full conference fee £125:00                        [    ]
2. Sunday only including lunch fee £15:00      [    ]
(Please tick as appropriate)

Name: Date:
Phone:
Address: Email:
Address 2:
Town: Code:
County: Country:
Are you a member of the Spirit Release Foundation?   [   ] yes     [   ] no (please tick)
Other Delegates Names: Please indicate whether a member or non member
Name 1:                                                                                        Member/Non-Member
Name 2:                                                                                        Member/Non-Member
I enclose my fee of £                                made payable to the Spirit Release Foundation  AND/OR
I have made a payment via PayPal of £                          on                           (please give date)
Signed:
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