Lagou Raxi - Courses Booking Request Form

Mediterranean Centre

for Art, Gardens, Plants and Design
Course name
Course dates
Application date

DayMonthYear
1st participant details
Full Name*
Participant*

YesNo
City
Country
Telephone*
Email*
Dietary preferences

VegetarianVeganOther (please indicate)
Allergic to
2nd participant details (if applicable)
Full Name
Participant

YesNo
City
Country
Telephone
Email
Dietary preferences

VegetarianVeganOther (please indicate)
Allergic to
Room and Bed Preference*

Single RoomDouble Room (Twin bed)Double Room (Double bed)Triple for Double Occupancy (Twin bed)Triple for Double Occupancy (Double bed)Junior Suite (Twin bed)Junior Suite (Double bed)
Additional Comments
Should be Empty:

Mediterranean Centre