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Course Booking Form - please complete in clear block capitals

 
 
 
'Attention and Listening in the Early Years'
('Listen with Lucy')
 NEW Workshops in 2016:

EDINBURGH


Date: Thursday 6th October 2016
Time: 10.15am 'til 2.45pm
Venue: Edinburgh Central Library, George IV Bridge, Edinburgh
Cost: £80 (includes one copy of the book 'Attention and Listening in the Early Years' by Sharon Garforth, on which the course is based)

NB: Please bring a packed lunch



Contact details - please post or email your completed booking form to:
 
Sharon Garforth                                                                             Tel: 07985 084 682
The Old Forge                                      
Prees Green    
Whitchurch                      
Shropshire
SY13 2BP                                                                                       Email:sgarforth@live.co.uk
 
 
Please note that online booking is currently unavailable


First applicant details:
 
 
(Mr/Mrs/Ms/Miss) Forename:________________________ Surname:__________________________________________________
 
Position:________________________________________________________________________________________________________
 
Organisation:___________________________________________________________________________________________________
 
Address:________________________________________________________________________________________________________
 
_________________________________________________________________________________________________________________
 
Postcode:________________ Tel:___________________________________
 
Email:___________________________________________________________________________________________________________
 
Where did you hear about this course?___________________________________________________________________________
 
Second applicant details (where appropriate):
 
(Mr/Mrs/Ms/Miss) Forename:_________________________ Surname:_________________________________________________
 
Position:_________________________________________________________________________________________________________
 
Special requirements (if any):_________________________________________________________________________________
*If more than 2 applicants, please complete an additional booking form

How to pay
 
Costs: £80 per applicant (includes a copy of the book 'Attention and Listening in the Early Years', and light refreshments at lunch).
 
We would be grateful if you could send payment when booking, by cheque made payable to Sharon Garforth. Alternatively please email Sharon on sgarforth@live.co.uk if you prefer to pay via BACS. If you require an invoice before making payment, please tick here:___
 
Purchase order number (if relevant):_______________________
 
Invoice address (if different from contact address):_______________________________________________________________
 
_________________________________________________________________________________________________________________
 
Signature:________________________________________________________________________
 
Date:_________________________
 
Please note that we will contact the first-named applicant when the booking has been processed. Places on the course will be allocated on a first come, first served basis. If you have not heard from us within 2 weeks of applying, please contact us. The fee can only be waived or refunded if we receive a written or emailed cancellation notice at least 3 weeks before the date of the course and we have accepted in writing or by email.
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