Ignite Your Creativity Retreat Booking form
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Transcript of Ignite Your Creativity Retreat Booking form
Please fill out your personal information below;Please fill out your personal information below;Please fill out your personal information below;Please fill out your personal information below;
Your name:Your name:Your name:Your name: First:First:First:First:
Surname:Surname:Surname:Surname:
Your contact Your contact Your contact Your contact number:number:number:number:
Your email:Your email:Your email:Your email:
Your address:Your address:Your address:Your address:
Your website:Your website:Your website:Your website:
Your Twitter Your Twitter Your Twitter Your Twitter name:name:name:name:
HealthHealthHealthHealth/diet diet diet diet needs:needs:needs:needs:
If you If you If you If you plan to plan to plan to plan to drivedrivedrivedrive are you are you are you are you willing to car willing to car willing to car willing to car share?share?share?share? Where Where Where Where from?from?from?from?
I can’t make it I can’t make it I can’t make it I can’t make it this time this time this time this time – I am interested in future retreats
BelowBelowBelowBelow select a payment plan that works for you;select a payment plan that works for you;select a payment plan that works for you;select a payment plan that works for you;
Payment PlanPayment PlanPayment PlanPayment Plan 1111stststst paymentpaymentpaymentpayment Further paymentsFurther paymentsFurther paymentsFurther payments Your total to Your total to Your total to Your total to paypaypaypay
Full price £450450450450
* Before 14th February 2013 £405 (10% off)
N/A
Plan 1 Deposit £150 2 x £160 by end of March 2013
Plan 2 Deposit £150 3 x £120 by end of April 2013
Plan 3 Deposit £150 4 x £97.50 by end of May 2013
Ignite Your Creativity Retreat Ignite Your Creativity Retreat Ignite Your Creativity Retreat Ignite Your Creativity Retreat ---- Booking FormBooking FormBooking FormBooking Form
YES!YES!YES!YES! I am ready to sign up for my place on Ignite YourIgnite YourIgnite YourIgnite Your Creativity RetreatCreativity RetreatCreativity RetreatCreativity Retreat 22nd – 24th March 2013
Payment MethodsPayment MethodsPayment MethodsPayment Methods
Make a single or phased set of transfers into:
Open To Create... Lloyds TSB Business Banking Account number: 25272768 Sort code: 30-92-90
Pay with a cheque or cheques payable: Open To Create...
Please send your completed form back viaPlease send your completed form back viaPlease send your completed form back viaPlease send your completed form back via [email protected]
Or Snail mail to: Anna @ Open To Create...4 Jones House, London E14 0NT
Call: 07941 655 856