Ignite Your Creativity Retreat - Booking Form WOW13 YES! I am ready to sign up for my place on Ignite Your Creativity Retreat 22nd – 24th March 2013 Please fill out your personal information below;
Your name:
First:
Surname:
Your contact number:
Your email:
Your address:
Your website:
Your Twitter name:
Health/diet Health diet needs:
If you plan to drive are you willing to car share? Where from?
I can’t make it this time – I am interested in future retreats
Below select a payment plan that works for you; Payment Plan
1st payment
Further payments
Full price
*For WOW 2013 international Women’s Day until 17.03.2013
N/A
*£300 Deposit £100 by 17.03.2013 Deposit £100 by 17.03.2013 Deposit £100 by 17.03.2013
Plan 1 Plan 2 Plan 3
Your total to pay
2 x £110 by end of May 2013 3 x £75 by end of June 2013 4 x £60 by end of July 2013
Payment Methods
Make a single or phased set of transfers into: Open To Create...
Account number: Sort code:
Lloyds TSB Business Banking 25272768 30-92-90
Pay with a cheque or cheques payable:
Open To Create...
Please send your completed form back via
anna@opentocreate.com
Or Snail mail to: Anna @ Open To Create...4 Jones House, London E14 0NT Call:
07941 655 856