Application Form Word

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HORSES INSIDE OUT - Application Form
Two Day Applied Biomechanics Course
For office use only
120307
No.
Ack:
Saturday 8th and Sunday 9th October 2016
: Ch / BACS
Brooksby Equestrian Centre, Brooksby College,
Melton Mowbray, Leicestershire, LE14 2JL
Payment Received
Receipt
ONE APPLICATION FORM PER PERSON PLEASE
Name: …………………………………..…………………………………………… Today’s date ……………………………….…………….………
Email:.………………………………………………………………………………..…………………………………………………………………..….………
Telephone: ….………………………………………………………………………………………………………………………………….……….……..…
Mobile: ………………………………………………………………………………………………………………………………………………….……..……
Address:……………………………………………………………………………………………………………………………………………..….……………
……………………………………………………………………………………………………………………………………………………………….…………..
Main Equine Interest: ……………………………………………………………………………………………………………… ….……..…
How did you hear about this course?............................................................................................... ..….…..
I would like to join you for dinner on Saturday Evening at Sysonby Knoll Hotel, Melton Mowbray:
(Not included in price)
Course Fee:
yes please
/
no thank you
£250.00 + £50 VAT = £300
PAYMENT METHODS:
I am paying by :
BACS
/
Cheque
Please highlight
PAYMENT BY CHEQUE:
Please make cheques payable to: ‘HORSES INSIDE OUT Ltd’
And post to :
Horses Inside Out,
38 Main Street, Bunny,
Notts.
NG11 6QU
PAYMENT BY BACS / PC BANKING:
Bank: Santander, Bootle, Merseyside. L30 4GB.
Account : Horses Inside Out Ltd. Account No: 16663189 Sort Code: 09 01 51
Reference with: “Bio” and your name.
BIC:
ABBYGB2LXXX
IBAN: GB05ABBY09015116663189
Email application to shirley@horsesinsideout.com
Any further queries please call 01159 212 648
Thank you
VAT Registration No: 158 2456 92
Cancellation Policy: We charge 25% for cancellations up to two weeks in advance and 100% thereafter
unless we can fill the place from a waiting list in which case we will then refund 75%. Non transferable.
HORSES INSIDE OUT LTD Place of registration: England and Wales. Registered number: 06883026.
Registered address: 11 High Street Ruddington Nottingham NG11 6DT.
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