BOOKING FORM

GRANT BENTLEY

Saturday & Sunday, 5th/6th June - Miasmatic Facial Analysis

Monday, 7th June - Clinical Teaching Day


ATTENDANCE FEES

Miasmatic Facial Analysis - Practitioners: £150, Students: £140

Clinical Teaching Day - Practitioners: £80, Students: £75

Booking for all 3 days - Practitioners: £210, Students £195

Bulk discount (5 or more bookings) £170 per person (Early Bird Discount does not apply)

EARLY BIRD DISCOUNT
Deduct £10 for 1 day, £15 for 2 days, or £20 for 3 days - if booking before 7th April 2010

Please indicate which of the seminars you would like to attend:
Saturday & Sunday 5th/6th June - Miasmatic Facial Analysis
Monday 7th June - Clinical Teaching Day

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

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

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

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

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

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

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

I enclose a cheque for £...........for ....... ticket(s) at the Practitioner/Student/Bulk discount rate (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, 10th May 2010. 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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