Name..................................................... Telephone No......................................................
Address............................................................................................................................
........................................................................................................................................
........................................................................................................................................
My e-mail address (if applicable)..........................................................................................
Name of course I wish to attend..........................................................................................
Venue/Location of course I wish to attend.........................................................(i.e. Ullapool or The Summer Isles.)
Date of course I wish to attend...........................................................................................
I have enclosed the deposit of £75.00, payable to Jan Kilpatrick.
Please send me confirmation of my
place on the course and further details on location, starting times and any details
specific to my course. I understand that I must pay the full balance at least two weeks before the course commences.
I found out about the course through.....................................................................................
