Day Intensive Booking Form

Name

First Name

Last Name

Email

Phone

(###)

###

####

Please state below if there are any dates that you cannot do in the next 2 months?

Please state your preferred payment

Payment in full = £1800.00

Payment in 3 instalments = £600.00

Payment of 6 instalments = £300.00

Once I receive your booking form I will forward payment details and your pre-day questionnaire. Before I do this is there anything else you'd like me to know?