Zoence Events: Booking Form (per person per event)

To book a place on the event, please fill out the form below, print it out, sign it and then post it with the required fee to Zoence Academy at the following address:

The Secretary, Zoence Academy,
Roses Farmhouse, Epwell Road, Upper Tysoe,
Warwick, CV35 0TN, England.

Cancellations: A fee of £15 will be retained. No refunds within one week before each event.

Please let us know of any special needs on this form.

Please select/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 the

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.)

N.B. Food and/or accommodation is only included in those events as advertised. For events not inclusive of accommodation, lists of local accommodation can be supplied if requested. For some workshops, lunches can be provided at a cost of £10 per lunch if pre-booked.

I will require:

Lunch on each day of the workshop

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

Any additional details we should know about:

Please send me:

List of local accommodation

Travel details

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 enclose a for £ made payable to Zoence Academy
(all payments to be made in £ Sterling).


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