BOOKING FORM

HOLIDAY COURSE 2008 – QIGONG in the Forani Palazzo

Thursday September 11^th to 18^th 2008

 

I/we would like to book for the Qigong Holiday course,

 

Accommodation

 

Rooms will be allocated on first come first served basis.  Please indicate your 1^st, 2^nd and 3^rd choice of rooms from the list below.  If your first choice is already taken I will try to allocate you the next one down.

 

Choice	Code
1st, 2nd or 3rd	Room	Forani Palazzo restored section with communal lounge and self catering kitchen
	FP1	Downstairs twin (two beds) ensuite with view
	FP2	Downstairs double bed, single sofa bed in adjoining room no view can be a triple room
	FP3	Upstairs Twin (2beds) shared bathroom with view
	FP4	Upstairs twin (2beds) shared bathroom with a view
		Adjoining Medieval Tower Rooms with self catering kitchen
FULL	FT1	Twin (2 beds) ensuite view TAKEN
FULL	FT2	Twin (2 beds) ensuite view TAKEN

 

I/We will share a twin/double room             

Please delete as appropriate  

 

(PLEASE USE BLOCK CAPITALS)

 

<rectid_x0000_s1026styleMARGIN-TOP: 2.4pt; Z-INDEX: 1; MARGIN-LEFT: 108pt; WIDTH: 18pt; POSITION: absolute; HEIGHT: 18pt>Number of people:

 

First name_____________________

Last name_______________________

 

First name_____________________

Last name_______________________

 

First name_____________________

Last name_______________________

 

Address of contact: House Name/ Number __________________________

Street/ Road______________                   Town/City_____________________

State/County______________                 

 Zip/Post Code__________________

Country__________________

Telephone No.____________________  Mobile________________________

Fax_____________________________ Email_________________________

Website_________________________

 

Special Dietary Requirements____________________________________

 

 Would you like to make use of the transfer from and to the airport?  Yes/No (please delete as appropriate) fee 50 euros

 

Are you hiring a car to meet you at the airport? Yes/No

 

Would you like to join the day out excursion (40 euros)?  Yes/No

 

Payment

 

Please enclose your deposit of   £150       per person

 

I will pay the balance by April 1^st 2008* or

 

I will set up a Standing Order through my bank to pay the balance in six equal payments commencing March 2008

I enclose my cheque for £             payable to “Three Treasures Health” or

I am sending the deposit via bank transfer*   *Please delete as appropriate.

 

Signature__________________________Date________________________

Send completed Booking Form and your Deposit to: Anthony Horrocks,

Three Treasures Health, 60 Fore Street, North Petherton, Bridgwater, Somerset, TA6 6QA   Telephone: 01278 6614