Please book me/us on course Title:

Date of attendance: From: To: Inclusive

First Guest

Name (including title) :

Address:

Post Code:

Telephone Day: Telephone Evening :

Vegetarian Diet: YES NO

Second Guest (if applicable)

Name (including title) :

Address:

Post Code :

Telephone Day: Telephone Evening :

Vegetarian Diet: YES NO

Deposit enclosed in the sum of £50 per person (non refundable)
The balance to be paid by cheque 14 days prior to arrival, or in cash on arrival.

Signature ........................................................................................ Date ..........................................

Cheques to be made payable to F.J. DALLOW

Please print the above completed form and post (including deposit as above) to:

GOLDEN SPIRIT CENTRE (MAESYBONT)
CWM FARM, MAESYBONT, CROSSHANDS, LLANELLI, CARMS SA14 7SU

Telephone: 01269 831944