BOOKING FORM - Please print out and send to the address below

A LONG WEEKEND WITH LIZ LALOR

Saturday & Sunday 1st & 2nd October 2011 - "Understanding Destructive Disease"

ATTENDANCE FEES

Weekend rate - Practitioners: £155, Students: £145
Booking for one day only - Practitioners: £90, Students: £85

Please indicate how many days you would like to attend:
Saturday & Sunday 1st/2nd October 2011 "Understanding Destructive Disease"
Saturday 1st October 2011 only
Sunday 2nd October 2011 only

Name:........................................................................................................

Address:.....................................................................................................

...................................................................................................................

Post code:................................

Telephone number:........................................

Mobile:.........................................................

Email address:...............................................

I enclose a cheque for £...........for ....... ticket(s) at the Practitioner / Student (delete as applicable).

Please make cheques payable to Phoenix Talks, and post to:
Jane Dickson, 97 Midhurst Road, London W13 9TJ

Refunds: Full amount less a 10% administration fee will be refunded if a cancellation is received before Monday, 29th August 2011. No refund is available after this date.

Would you like to be on our email list for future seminars? YES/NO

How did you hear about us? .........................................................................................

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