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Post to:           Deborah Baynes

Nether Hall

Shotley

Ipswich

Suffolk  IP9 1PW

UK

 

My name:  

Address:

 

 

Phone:

Email:

I wish to book for a pottery course and I enclose £__________ as [   ] deposit [   ] full payment.

Choice of dates:

   1st                                          2nd                                         3rd                                  

 

Duration:      [   ]  1 Week      [   ]  2 Weeks    [   ]  Weekend      [   ]  Long Weekend

 

The following information will be helpful to us in arranging the accommodation and the course:

I would like:   [   ] single room  [   ]  twin bedded room  [   ]  en-suite (£10 extra per night)

 

I have done:   [   ]  no pottery  [   ]  some pottery     [   ]  a lot of pottery

 

I expect to be coming by:     [   ] car    [   ] public transport

 

I learned of the course from:                                                                                                   

I have special food requirements.  They are:

 

 

 

 

 

Signature                                                               Date

 

 

Send mail to deborah@deborahbaynes.co.uk with questions or comments about this web site.
Copyright © 2000 - 2007 Deborah Baynes' Pottery Studio
Last modified: March 12, 2007