Print this page                     Booking form           (click here to return to the Home page)
Unless you are buying a voucher with dates to be arranged at a later date 
confirm by phone or e-mail that a place is reserved before sending this form and any payment.
Should you have any difficulty in filling in this form then please contact Roger on 02476 735617 for help.

Personal information of person making a booking or buying a gift voucher
First Name  
Last Name  
Home address
(including post code)		  
Daytime Phone No.  
Evening Phone No.  
E-mail address  

Information on people attending the course 
Full Name Full Name
Telephone number or e-mail 
of person attending.
Food allergies/other disability info.
Beginner or improver to watercolour painting. ?		   Telephone number or e-mail 
of person attending.
Food allergies/ other disability info.
Beginner or improver to watercolour painting. ?		  
       
Full Name   Full Name  
Telephone number or e-mail 
of person attending.
Food allergies/ other disability info.
Beginner or improver to watercolour painting. ?		   Telephone number or e-mail 
of person attending.
Food allergies/ other disability info.
Beginner or improver to watercolour painting. ?		  
       
Full Name    Full Name  
Telephone number or e-mail 
of person attending.
Food allergies/ other disability info.
Beginner or improver to watercolour painting. ?		   Telephone number or e-mail 
of person attending.
Food allergies/ other disability info.
Beginner or improver to watercolour painting. ?		  

Course Information
If you are buying a gift voucher for those shown  attending the course, then tick this box.  A voucher will be sent to your address given above.   
Course location......Home studio, Dunsmore Home Farm, Wilton Court, or Plas Hafod Hotel  
Starting date of course  (Can be arranged at a later date on vouchers)  
How many days you will be attending or buying a voucher for. (1 , 2 or 3)  

Total cost for all attending course.

 £       
Deposit amount sent with this form.     This is a non refundable £50 / person.
(Gift vouchers must be paid for in full before we can send one to you.)		 £       

Balance due 1 month before attending. (Or send with deposit if a late booking.)

 £       

Accommodation  

 If your course is at the Wilton Court Hotel or the Plas Hafod Hotel, is there a non painting
partner requiring B & B included in your total costs shown above. ? 		  

Please note:- Whilst I will do everything possible to help you get your accommodation, it is your responsibility to confirm any B & B bookings and to pay for them independently of the art course unless it is stated as included in the price.
Please return this form, making any cheques payable to Mr. R. Orton. 75 Cheverel Street, Nuneaton, Warwickshire. CV11 5SE