Course Booking Form Print this page Close window

Bookings for courses and retreats must be made in advance.
Please print-out, complete and return this booking form, enclosing the correct deposit.

General Details
Name: Male or Female:
Address:
Postcode:
Telephone: Email Address:
Date of Arrival: Date of Departure:
Attending a course/retreat: Yes No
Course Title:


Type of Booking

Residential:
I require accommodation: (Please indicate which type)

Single Room Shared Room
Will you accept shared accommodation if necessary? Yes No
Non Residential:
I do not require accommodation
Please note: Lunch is included in the Non-Residential price.
Payment
 		   
I enclose payment in full: £ (Please make cheques payable to Uma Buddhist Centre)

I enclose a deposit of:
£5 per person (day course/ day retreat)
£15 per person (weekend or short stay)
£30 per person (five days or longer stay)
 


Please give details of one person, either a family member or close personal friend in case of an emergency. Thank You.

Name:
Address:
Telephone:
Are you taking medication? (if yes, please specify) Yes No


Where abouts did you see our publicity?______________________________________________

I would you like to receive information about forthcoming events:
By email (include your address above)

Yes

 No
  By post:

Yes

 No
Signed: Date:

Please return to:
Course Bookings, Uma Buddhist Centre, Lynwood House, St Johns Close, Carlisle, CA2 4JL

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