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SWANWICK 2008 - BOOKING FORM
Please read the NOTES first (click
here)
1.
Surname (with title) _____________________________________
First Name _______________________________________________
________________________________________________________
____________________________________Postcode ____________
Telephone: ______________________________________________
Email: __________________________________________________
Please tick
| If
this will be your first year at the Summer School |
|
| If you will
be under 18 at the time of the School |
|
| If you do
not want your email address revealed |
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| I intend
to apply as a day visitor and will contact the Secretary during
the month of June |
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NB:
Your details are never revealed without permission.
2.
Tick required accommodation as follows:
(The tariff includes full board and all tuition per person)
| Standard
|
£320 |
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| Upgraded
Standard |
£360 |
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| Lakeside
single or shared |
£380 |
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| Alan Booth
Centre shared |
£380 |
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| Alan Booth
Centre single |
£455 |
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| Upgraded
Main House shared |
£380 |
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| Upgraded
Main House single |
£455 |
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Are you willing to share a room? Yes ?------- or No ?--------- (indicate
with a tick)
If yes, with _______________________________________________
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NEW MEMBER? Please tell us how you heard about
the School.
------------------------------------------------------------------------------------------------------------------------------------------------
If you were recommended/introduced by another Swanwick member
and you will both be attending for the full 6 days, please tell
us his or her name:
(name) _______________________________________________________
On application to the Treasurer at the School the member will
receive our thanks in the form of a £10 cheque. |
3.
I would like the following medical condition noted:
4. I require a special diet: No--------- Yes--------- (indicate with
a tick)
| Other: |
Diabetic |
|
| |
Gluten free |
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No red meat |
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Vegetarian |
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Wheat Free |
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5.
Contact name for use in emergency:
Name (with title) ____________________________________________________
Telephone no. ___________________________________________________
| 6. The fee quoted
for my chosen accommodation is: |
£ |
| 7. I require
a return ticket from and to Derby Station please
add £10 |
£ |
at
3.45pm ---------- at 5.15pm --------- (please indicate which) |
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8.
I enclose a cheque for the full amount – OR |
£ |
(Three
cheques to be sent together)
i. £50 deposit to secure place if available |
£ |
| ii.
£150 - cheque to be dated 1st April
|
£ |
iii.
Balance due – cheque to be dated 1st June |
£ |
TOTAL of instalment cheques enclosed |
£ |
All cheques should
be made payable to “The Writers’ Summer School”
Signature ______________________________ Date ______________________
9. Please send
a) this form:
b) cheque/s: and
c) SAE for your receipt to:
Peter
Lyons
Treasurer
“Druideag”
44 Gress
Isle of Lewis
HS2 0NB
www.wss.org.uk
Registered Charity No. 1064567
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