Poetry at the Abbey
Booking Form
Please print off this form and post it with your payment
Date of the course you are booking:
Your Title & Name:
Address:
Telephone & Email:
I wish to book ……….... place/s for Poetry at the Abbey Name/s of participant/s:
London Borough (if claiming bursary rate):
Reason for concession (if appropriate):
I wish to book non-residential / residential (shared) / residential (single) place/s (delete as appropriate)
To secure my booking, I enclose ………. x £30 deposit/s £………….
The balance is due one calendar month before the course or at the time of booking, whichever is the later
or
I enclose ………. x £ ……….. to cover the full participation fee/s £………….
Total enclosed £ ………….
Please make cheques payable to Blue Nose Poets, and send with this booking form to
Poetry at the Abbey, Blue Nose, 204 Horsenden Lane South, Greenford, UB6 7NU, England
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