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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