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.