Nature Therapy Booking Form

Nature Therapy

Sussex
I would like to book onto the event on:

Sunday 28 SeptemberSaturday 18 October
Name*

First NameLast Name
E-mail*
Phone Number

Area CodePhone Number
Do you have any physical disability or health condition that you might need some assistance or support with during the session?*

YesNo
Please provide some further information about I can best support you.*
Please make payment with PayPal or bank transfer.

Click on this link to make payment with PayPal

Name: Mark Reeves

Acc: 16043200. sort code: 010123

Reference: RC & your innitials.
Cancellation policy: If you cancel up to 10 days before the event then your payment can be refunded. After this point it is non-refundable.
Please indicate your payment method:*

I have paid with PayPalI have paid with bank transfer
Would you like to stay in touch and receive occasional emails about future workshops?

Yes, add me to mailing list
I would like to book for the event on:
Should be Empty: