Living Willow Workshop Booking Form

Please complete the form below and send with your payment to: PH Coate & Son, Meare Green Court, Stoke St Gregory, Taunton, Somerset, TA3 6HY. Tel: 01823 490249

Name: ..............................................................................................................................................

Address: ...........................................................................................................................................

.........................................................................................................................................................

.........................................................................................................................................................

Daytime contact phone number: ..........................................................................................................

Email address: ..................................................................................................................................

Please indicate which workshop session you wish to attend:

Please either enclose a cheque for full amount payable to PH Coate & Son or provide card details below:

Credit/ Debit card number: .............................................................................

Expiry date Issue no. or start date: .................................................................

Last three numbers of security code on reverse of card: ...................................

------------------------------------------------------------------------------------------------------------

You will be sent a receipt as confirmation of your place for the workshop.

Places are transferable and monies refundable up to 4 weeks prior to workshop or later if we are able to fill the place from a waiting list.

We reserve the right to change, cancel with as much notice as possible in which case full refunds will be given.