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Friday 1st December 2006 (Introduction to Ear Reflexology)
Saturday 2nd December 2006 (Ear Reflexology: Level 2)

Title: ____ First Name :______________ Surname: _______________________

Address: ____________________________________________________________

_____________________County: _________________Post Code:_____________

Phone Number: ________________email address: _________________________

Course Required : Venue :   Bristol     Date:   Fri 1st December / Sat 2nd December  (please circle required date or both)

This course is available to reflexologists and other complimentary practitioners

The course will cost only £95 per day (£90 for VRT members), a deposit of £50 per day will secure a place on the course
( Balance of £45/£40 due on the day as cash or cheque).

I wish to pay my deposit of £50.00
By:  
   ¨ cheque made payable to ‘ BOOTH VRT LTD’
   ¨ my charge card Mastercard/Visa/Switch (please circle)

Please print this form and complete and send to:
Booth VRT Ltd (Ear), Suite 205, 60 Westbury Hill, Bristol, BS9 3UJ.

or Tel/Fax:0117 962 6746, email : contact@boothvrt.com. You may fax it with a charge card number.
If you prefer to check availability first please email : course@boothvrt.com   
Please include your name and address in your message.