BOOKING FORM

A LONG WEEKEND WITH LIZ LALOR

Saturday & Sunday 8th/9th May - "Homeopathic Psychiatry behind Destructive Disease"
Friday 7th May - "Fertility Programme"

ATTENDANCE FEES

"Homeopathic Psychiatry" - Practitioners: £150, Students: £140

"The Fertility Programme" - Practitioners: £80, Students: £75

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

Bulk discount (5 or more bookings) £170 per person


Please indicate which of the seminars you would like to attend:
Saturday/Sunday, 8th/9th May - "Homeopathic Psychiatry"
Friday, 7th May - "The Fertility Programme"

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, 5th April 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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