Please print out, fill in and return along with your payment to:
Patrick Whitefield Associates
37 Leg of Mutton Road
Glastonbury
Somerset BA6 8HH


Please enroll me on the:
June 2010 Design Course
August 2010 Design Course

Name
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Address
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Phone number
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e-mail
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I would like to stay in the Bunkhouse
I would like to camp
I live locally and do not need accomodation

I enclose:
£
my first payment of £300/full payment of £750
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£27 for advanced copy of book
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Total
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Are you on a special diet? Please give details.
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Do you have any physical or mental health problems that we should know about?
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