BOOKING FORM

I enclose a cheque for £……. to attend ………/……/2010 Pesso Boyden day(s)

Please make the cheque out to Juliet Grayson

NAME

ADDRESS

.

.

.

.

EMAIL

PHONE NUMBER (DAY)

PHONE NUMBER (EVENING)

PHONE NUMBER (MOBILE PHONE)

I WOULD LIKE A CERTIFICATE OF ATTENDANCE FOR CONTINUOUS PROFESSIONAL DEVELOPMENT (CPD) Please tick if required.

No cancellations or transfers can be made within 13 days of the course start date

Please send this form to Juliet Grayson, Courtyard House, Moynes Court, Mathern, Chepstow, NP16 6HZ

If you have any more questions, please email Juliet on therapy.counselling@virgin.net or call 01291 638805

to return to home page click here

Juliet Grayson 01291 638805 therapy.counselling@virgin.net