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Missenden Centre Booking Form
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
Student day courses £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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