STAINED GLASS COURSES

NAME..........................................................................................................................

ADDRESS...................................................................................................................

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POST CODE...............................

TEL. NO.....................................

email address..............................................................................................................

COURSE DATES:   Saturday...........................to Sunday.........................................

Course fee £250.00 Payment in full with booking form secures a place.

Have you been on one of our stained glass courses before?...........date.............

Please tick if you require the following.

Bed and Breakfast @ £40/person/night  Friday.........Saturday............Sunday.........

Dinner @ £20 for a 3 course evening meal      Friday.........Saturday............Sunday........

(Please advise us of any special diets)

Payment method

Course fee £250.00................................payment enclosed........................

Returning students receive a discount of £25             ..............................

B&B no. of nights @ £40 / night...........total enclosed...............................

evening meal @ £20 / meal....................total enclosed...............................

                                                                         Grand total.................................

Cheque no..........................................(Cheques payable to V.J. Green)

Credit card: Tick___visa____mastercard____switch____delta____solo

card number________/________/________/________/

Expiry date_________

Start date__________

Issue no. __________if applicable

Security number____last 3 digits on signature strip

A receipt will be sent

Terms

Numbers on the courses are limited to a maximum of 6 students and we are unable to refund payment if you cancel your booking later than 8 weeks before a course date.

If you cancel prior to the 8 week period we will refund the fee if we are able to re-let the place.

If we have to cancel a course you will receive your payment back in full or the option to move to another course