Booking Form

First Name:
Surname:
Address:


Postcode:
Telephone:
Please book me on to the course:
Date from:		Date to:
Type of room required:
Special Diet:
Payment
Cost for persons participating:		£
Cost for companions:		£
Total Cost:		£
Remittance:		£
Deposit (1/3 cost of course):		£
The balance is due one month before the course starts.
I enclose a cheque for the booking deposit/full payment (made payable to The Wye Valley Arts Centre Ltd.) and will pay the balance due at the appropriate time.
I declare that I am over 18 years of age and I fully accept and will abide by the booking conditions.
Date:
Signature:
Please state where you heard of the Wye Valley Arts Centre:

If you would like a brochure with details of all our courses please tick here

Please fill in the form, print it out (ctrl-P) and send with your cheque (made payable to The Wye Valley Arts Centre) to:

The Wye Valley Arts Centre
The Coach House
Mork
St. Briavel's
Lydney
Gloucestershire
GL15 6QH

Member of the Adult Residential Colleges Association