WOW BOOKING FORM

Welcome to our booking form. If you would like to attend our special WOW event, please fill in your details below (this will allow us to hold your room for 72 hours) and forward your payment to us at the address below.

Your Name: *

Your Address *

Telephone Number *

Email Address *

Booking required *
Single Room (1 person) - £135.00 total
Double Room (2 Persons) - £180.00 total

Would you like a copy of the tutorial DVD *
Yes please - add £15.00 to your booking
No thank you.

Special requirements
I have special access requirements (wheelchair/disabled)
I have special dietary requirements (please specify in box below)

Please tell us if there is anything special that you need.

Please send your cheque payable to Mr. L. Wilbraham
Post your payment to:
99 Zodiac Drive
Packmoor
Stoke on Trent
Staffordshire
ST6 6NJ