Marple Cross Centre

Workshop/Event Booking Form

Book your place on an event, workshop or meeting

Event Online-Booking Form.

How to Lose your Mind and Find Sanity - A 'Take Five' workshop - Saturday 23rd June, 2012, @ 1:00pm to 3:00pm
IMPORTANT: Avoid using you browser's back/forward/reload buttons whilst completing this form. Doing so may lead to data becoming corrupted and your booking application becoming void.
1) Your personal details…
Email:
First name: Last name:
Address: (house number/name & street)
  (2nd line of address)
  (Town)
  (County)
  (postcode)
Telephone:
   
Have you visited the centre before? Yes
 
2) About the event…
Cost of the Event: £10.00 (standard fee)
   
Would you like us to provide lunch?
(Cost of lunch is included in the event fee)		 Yes
 
In the event of a fire, will you require assistance evacuating from the building? Yes
   
 
3) Paying for this event…
How would you like to pay for this event?

Card credit/debit or PayPal*
Bank transfer to Marple Cross*
Cheque (sent to Marple Cross)
Cash (sent to Marple Cross in advance)

Pay in 3 installments?
  *Card payments adds a 4% increment which covers PayPal's processing fees
   
 
4) About your interests…
Would you like to hear from us about other related events? Yes - all events.
Yes - but only with subjects related to this event: Depression, happiness, Mental health, Workshop (plus other subjects you've previously expressed an interest in).
No - I don't wish to be notified.