Ignite Your Creativity Retreat Booking form

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Ignite Your Creativity Retreat - Booking Form YES! I am ready to sign up for my place on Ignite Your Creativity Retreat 22nd – 24th March 2013 Please fill out your personal information below;

Your name:

First:

Surname:

Your contact number:

Your email:

Your address:

Your website:

Your Twitter name:

Health/diet Health diet needs:

If you plan to drive are you willing to car share? Where from?

I can’t make it this time – I am interested in future retreats

Below select a payment plan that works for you; Payment Plan

1st payment

Further payments

Full price

£450 450

N/A

Plan 1

* Before 14th February 2013 £405 (10% off) Deposit £150

Plan 2

Deposit £150

Plan 3

Deposit £150

Your total to pay

2 x £160 by end of March 2013 3 x £120 by end of April 2013 4 x £97.50 by end of May 2013

Payment Methods

Make a single or phased set of transfers into: Open To Create...

Account number: Sort code:

Lloyds TSB Business Banking 25272768 30-92-90

Pay with a cheque or cheques payable:

Open To Create...

Please send your completed form back via

anna@opentocreate.com

Or Snail mail to: Anna @ Open To Create...4 Jones House, London E14 0NT Call:

07941 655 856


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