CCPE – Workshop Booking Form

CCPE WORKSHOP BOOKING FORM

PLEASE PRINT THIS FORM OUT AND COMPLETE BY HAND

Name: _______________________________________________________________________________________________

Address: _____________________________________________________________________________________________

_____________________________________________________________________________________________________

Postcode: _______________________ Email: ______________________________________________________________

Home Tel:___________________________________________ Mobile:__________________________________________

Please book me on (workshop title) _______________________________________________________________________

on the (date) _______________________________________

I enclose a cheque for the amount of £ _________________ as deposit / full payment (delete one)

Please make cheques payable to 'Centre for Counselling & Psychotherapy Education' and send together with this form to:
Tanya Son, Assistant Course Administrator, CCPE, Beauchamp Lodge, 2 Warwick Crescent, London W2 6NE.