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Email: enquiries@barkingmadsurvival.co.uk Web: www.barkingmadsurvival.co.uk Tel: 01480 384426 Fax: 01480 384426 Accredited by the Welsh Tourist Board |
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Basic Survival Course Booking Form
Print this form then choose one of the following ways to send it to Barking Mad Survival School:
v To make payment by PayPal click here and
v Fax it to 01480 384426
v Email the information from the form to enquiries@barkingmadsurvival.co.uk (a signed version will need to be faxed/posted at a later date)
v Post the form with your deposit cheque to:
Barking Mad Survival School
33 Silver Street
Godmanchester
Cambridgeshire PE29 2HR
£40 deposit is required to secure your booking. The balance will be due four weeks prior to course date. If you do not make the deposit payment within 7 days of receipt of your booking form via fax or email, we cannot guarantee your place but we will endeavor to accommodate all bookings.
Please ensure you have read our Terms & Conditions before making your booking.
I/we would
like to attend your Basic Survival Course on ________________ (insert
agreed date).
I/we have
read and understood your Terms and Conditions. I/we
agree to abide by these Terms and Conditions.
(Terms and Conditions are available via email, fax or post).
I/we
enclose payment of £_________ (course fee £140 per student).
Payment is by cheque only. Please
make cheques payable to "Barking Mad Survival School".
Please complete the
information
below for all students:
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Full Name |
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Address |
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Telephone No. |
___________________________________________________________ |
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___________________________________________________________ |
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Next of Kin |
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|
Date of Birth |
___________________________________________________________ |
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Full Name |
___________________________________________________________ |
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Address |
___________________________________________________________ |
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___________________________________________________________ |
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___________________________________________________________ |
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___________________________________________________________ |
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Telephone No. |
___________________________________________________________ |
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___________________________________________________________ |
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Next of Kin |
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Date of Birth |
___________________________________________________________ |
(Use separate sheet if necessary)
Have you
or any member of your group any medical condition(s) that will endanger
the
health and/or safety or you or other course members or instructors?
Yes / No.
If yes, please provide details below.
(This information is confidential).
__________________________________________________________________________________________________________________________________________
Signed:
____________________
Print Name: ____________________
Date: ____________________
Home
¦ Basic Course ¦ 5
Day Course ¦ Fungi Weekend
¦ Wayfarers Course
¦
Course
Dates ¦
How
To Book ¦ Gift Vouchers
¦ Course
Photos ¦ Guestbook ¦ Contact
Us