Modular Teacher Training and Health Professionals' Events

(Please print and complete the form)

Please book a place for me on the Two-Day Training Workshop

Event .…………………………………………………………………….....

Location .……………………………………………………………………

Date .……………………………………………………………………….

• Card Payments for Courses

(You can also book with a credit or debit card by telephone, 0161 834 1110)

Price

£275 (incl VAT) (if paid for by institution or company)
£240 (incl VAT) (if paid for by individual)

Name .……………………………………………………………………….

Address ……………………………………………………………………….

Job title………………………………………………………………………..

Email ……..…………………………………………………………………..

Telephone .…………………………………………………………………..

Mobile ………………………………………………………………………..

How did you hear of this event? ………..………………………………………

I will be paying the full amount of £275 [__] or £240 [__]

I enclose a cheque for £60 deposit or have paid by credit card [__]
(non-refundable)

Balance due one month before event: £215 [__] or £180 [__]

OR I enclose a cheque for the full amount £275 [__] or £240 [__]

Please make cheques out to Breathworks and send with booking form to:
Breathworks, 16 - 20 Turner Street, Manchester, M4 1DZ