Missenden Centre Booking Form

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Missenden Centre is a trading name of John Wakeford

Seminar

Seminar Title*

Date*

Participant Information

Title

First Name:*

Last Name:*

Organisation*

Position

Special Requirements

Special Concerns

Address Line 1:*

Address Line 2:

City:*

County*

Postal Code:*

E-Mail:*

Valid e-mail is required

Work Phone:*

Mobile

Name for correspondence

Date of booking*

Seminar Type

Master Classes £1500 (no vat)

Yes
No

2 Day Seminars £490 (no vat)

Yes
No

1 Day Clinics £285 (no vat)

Yes
No

Doctorate Detached £95 (no vat)

Yes
No

Ensuite room+Breakfast £78+vat per night

Yes
No

Submitting this form commits you to making full payment

If you do not receive acknowledgement within 48 hours email johnwakeford@icloud.com.

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