FBRT Vézelay-Autun Pilgrimage Retreat 2009
Booking Form (per person per event)

To book a place on the pilgrimage, please fill out the form below, print it out, sign it and then post it with either the full fee or £150 deposit to the FBRT at the following address:

The Secretary, The Francis Bacon Research Trust,
Roses Farmhouse, Epwell Road, Upper Tysoe,
Warwick, CV35 0TN, England.

If booking is made with the deposit only, the rest of the fee is payable by 18 July 2008. Any bookings made after 18 July must be made with payment of the full fee.

If for any reason you cancel your booking, all payment for the event, less a fee of £150, will be returned if cancellation is made by 15 August 2009. If notice of cancellation is less than this, the whole fee may be forfeit. We recommend that you take out insurance cover for such a contingency.

Please tick/fill in the boxes as appropriate, and let us know of any special needs on this form:

I wish to book a place on theAutun-Vezelay Pilgrimage Retreat 26/09/09-03/10/09

Full fee: £787 shared / £947 single accommodation. Deposit £150.

Personal Information-1

     
Title
 First name
 Last name
       
House/Street address
City/Town/Village
County/State/Province
 Postal/Zip Code
Country
     
Phone (incl. code):
 Fax:
 E-mail:

Personal Information-2
(Except for the purpose of organising the event, this information will be kept confidential.)

I will require:

Normal diet Vegetarian diet Special diet* (i.e. because of allergies, intolerances)

*Please give details

single accommodation shared twin accommodation*
shared double accommodation*

* I wish to share with

I have: good health health problems*

*Please give details (e.g. physical/mental ailments/handicaps):

Additional details that might be helpful to the organisers:

Personal Information-2 will not be shared, but please tick the box if you do not wish to have Personal Information-1 shared with other associated organisations.

I understand that all pilgrimages carry certain risks (e.g. uneven and sometimes rocky ground, uncertain weather) and am fully prepared to be responsible for my own safety and health, physical and psychological, as far as is normal and reasonable in such circumstances, and to have suitable and sufficient personal clothing and footwear.

I have or will have sufficient health and travel insurance for the pilgrimage.

I enclose a for £ made payable to the FBRT
(all payments to be made in £ Sterling).


Signature: ........................................................................ Date: .......................................