Authentic Woman


	Seminars/Workshops

	Previous Seminars / Workshops

BOOKING FORM

Title:
First Name*:
Surname*:
Address*:
Address:
City*:
County:
Country:
Post Code*:
Phone*:
Fax:
Mobile:
Email*:

Age:

Occupation:

Name of Event/Workshop	Date of Event/Workshop*	No. of places*

Comments :
Please enter names and email or postal addresses of any additional delegates, and anything else you would like to tell us about your booking.

Price per person: £35

Payment method:

Immediate credit card payment viato secure my place

By Cheque
(Cheques made payable to ‘Andrea Wade Associates’ (Workshop Host) and posted to PO Box 427, Bromley Kent BR1 5WG. Please note your place cannot be reserved until payment is received.)

Would you like to be kept informed of future events and services provided by us?

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I understand that the above booking is subject to agreement with the terms and conditions.

Fields marked with an asterisk (*) are mandatory