the full Outdoor Learning Programme 2013 - Severn Gorge ...

Booking Form (1)Booking Form (2)Booking Form (3)Course title(s):Course title(s):Course title(s):Date:Date:Date:Fee:Fee:Fee:Name(s) of attendee(s):Name(s) of attendee(s):Name(s) of attendee(s):Address:Address:Address:Telephone / mobile no.Telephone / mobile no.Telephone / mobile no.Email address:Email address:Email address:Payment method, please tick appropriate box:■ Cash■ Cheque (Severn Gorge Countryside Trust)■ Online banking: Ref: ODL001Sort code: 08-90-01Account no. : 65014772Payment method, please tick appropriate box:■ Cash■ Cheque (Severn Gorge Countryside Trust)■ Online banking: Ref: ODL001Sort code: 08-90-01Account no. : 65014772Payment method, please tick appropriate box:■ Cash■ Cheque (Severn Gorge Countryside Trust)■ Online banking: Ref: ODL001Sort code: 08-90-01Account no. : 65014772I confirm that the above named person(s) willattend this programme. I understand that norefund will be given for non-attendance.I enclose cash/cheque/online payment asindicated above.I confirm that the above named person(s) willattend this programme. I understand that norefund will be given for non-attendance.I enclose cash/cheque/online payment asindicated above.I confirm that the above named person(s) willattend this programme. I understand that norefund will be given for non-attendance.I enclose cash/cheque/online payment asindicated above.15