BOOKING FORM (please use block capitals)
Post to: Kate McEvoy, Brithdir Mawr, Cilgwyn Road, Newport, Pembrokeshire, SA42 0QJ
If you can't print this form, just write the same information clearly on a piece of paper and send it to us with your deposit.
NAME __________________________________________________________________
ADDRESS _______________________________________________________________
________________________________________________________________________
PHONE NO: (day/evening)__________________________________________________
EMAIL: _________________________________________________________________
DORMITORY (£110/£85 low wage)/CAMPING (£95/£75 low wage)/NON-RESIDENTIAL (£90/£70 low wage):
_____________________________________________________________
UN/LOW WAGE DISCOUNT? YES/NO _______________________________________
SPECIAL DIETARY REQUIREMENTS eg vegan/gluten-free _______________________
To confirm your booking, please return this
completed form with ideally the entire fee,
or at least a £20 deposit (non-returnable) for course.
If we have to cancel the course for any reason we will of course refund in full!
Cheques payable to 'Brithdir Mawr Community Enterprises', please.
£10 discount for those arriving by public transport/bike.