Name of Organisation............................................... Telephone No......................................................
Address.................................................................................................................................................
..............................................................................................................................................................
..............................................................................................................................................................
Our e-mail address .................................................................................................................................
Title of Workshop...................................................................................................................................
Dates of proposed Workshop..................................................................................................................
Agreed fee to be paid to Jan....................................................................................................................
As a representative of the above-named organisation, I hereby confirm that we wish to book a workshop with Jan for the above date(s) and accordingly enclose a deposit of £100 per day booked. I understand that the balance of payment is due on the day of the event and that payment must be made on that day.
Signed..............................................................................................................
Printed Name...................................................................................................
Position in organisation.....................................................................................
