My Next Chapter Leadership Programme - BOOKING FORM
London: Friday 4 March 2016 ~ Bristol: Friday 15 April 2016 ~ Leeds: Friday 29 April 2016
Your Name
Organisation
(if applicable)
Occupation
Address
Landline
Email
Mobile
I wish to book a place on the My Next Chapter Leadership Programme at a cost of £175.
Please tick one option below to confirm the date/location you wish to attend
London – Friday 4 March
Bristol – Friday 15 April
Leeds – Friday 29 April
Payment options:
£50 deposit (balance due 4wks prior to workshop date)
By cheque
Via online banking
OR
Paying in full
Please send invoice to the address shown above
I understand and subscribe to the terms & conditions of this booking.
Signed……………………………………………………..……..
Date ……………………………………
Please return this form electronically to Helen at info@mynextchapter.org.uk or by post to the address
below (if you are sending a cheque). Thank you. An invoice/receipt is available on request.
Details of how to pay
Electronic Transfer/Internet Banking
Payable to: The Art of Possibility
Bank: Barclays
Account No: 00145602
Sort code: 20-11-81
Please note payment as: MNC (your initials)
By post and cheque
Payable to: The Art of Possibility
FAO Helen Lawrence
18a Madeira Road
Clevedon
BS21 7TJ
Anything else we should know regarding your needs and requirements? Please do let us know if you have any health
issues or special dietary requirements you feel we should be aware of. (This information is confidential).
In case of an emergency, please tell us who we should contact. (This information is confidential).
Booking & Cancellation: Terms & Conditions
 A £50 non-refundable deposit must be paid to secure your place.
 Fees must be paid in full four weeks prior to the workshop date.
 If you cancel with less than three weeks notice from the workshop date, no refund can be given unless we are
able to fill your place from the waiting list at the same rate.
The Art of Possibility Ltd
Registered Address: 43 Hall Royd, Shipley, Bradford BD18 3ED Company No. 7399780