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Post to: Deborah Baynes

Nether Hall

Shotley

Ipswich

Suffolk IP9 1PW

UK

By signing and returning this form, I confirm that i do not suffer from any serious or possibly life threatening allergies.

My name:  

Address:

Phone:

Email:

I wish to book for a pottery course and I enclose £__________ as [   ] deposit [   ] full payment.

Choice of dates:

1st 2nd 3rd

Duration: [   ]  1 Week [   ]  2 Weeks [   ]  Weekend [   ]  Long Weekend

The following information will be helpful to us in arranging the accommodation and the course:

I would like:   [   ] single room  [   ]  twin bedded room [   ]  en-suite (£14 extra per night)

I have done:   [   ]  no pottery  [   ]  some pottery     [   ]  a lot of pottery

I expect to be coming by:     [   ] car    [   ] public transport

I learned of the course from:

I have special food requirements.  They are:

Signature Date

Send mail to deborah@deborahbaynes.co.uk with questions or comments about this web site.
Copyright © 2000 - 2010 Deborah Baynes' Pottery Studio
Last modified:September 29, 2017