Print this page, complete, enclose cheque and
Post to: Deborah
Suffolk IP9 1PW
By signing and returning this form, I confirm that i do not suffer from any serious or possibly life threatening allergies.
I wish to book for a pottery course and I enclose £__________ as [ ] deposit [ ] full payment.
Choice of dates:
1st 2nd 3rd
Duration: [ ] 1 Week [ ] 2 Weeks [ ] Weekend [ ] Long Weekend
The following information will be helpful to us in arranging the accommodation and the course:
I would like: [ ] single room [ ] twin bedded room [ ] en-suite (£14 extra per night)
I have done: [ ] no pottery [ ] some pottery [ ] a lot of pottery
I expect to be coming by: [ ] car [ ] public transport
I learned of
the course from:
I have special food requirements. They are:
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