BOOKING FORM
Please print this page, complete and send with your payment to:
Milly Cain,
Llwynbedw,
Commins Coch,
Machynlleth
Powys,
Wales SY20 8LG
email: milly@cainfamily.org.uk
Phone 01650 511612
| | £50 Deposit
| | £250 Full Payment
Balance to be received by 6th February 2009
Cheques to be made payable to "Jane Raworth - Reiki Alliance Account"
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Please let us know of any special dietary requirements:
| | Vegetarian
| | Vegan
| | Wheat free
| | I will be bringing a treatment couch