153 Shuttlewood Rd. Bolsover, Chesterfield, DERBYS, S44 6NX
Tel. 01246 826311 Fax 01246 823120 email dave@coupe.uk.net
Please book me .....................places for the.....................................................................indoor workshop
Name......................................................................................................................................
 
Address...................................................................................................................................
................................................................................................................................................
County.................................... Post Code.............................. Tel..................................

email....................................................................

I wish to hire the painting materials required for the day @ £5 / person

 

£  

The number of people that will attend the painting day is ........ @ £40/person

 

£  

Find enclosed a cheque for the total amount made payable to David Coupe for

 

£ Total

A lunch will be provided, and is there anything you do not eat please note here

 

 

If you need transport from the railway station in Chesterfield please give details of time and date

 

 

Do you need accommodation for the night before or after the painting session , if so what price range and what date.

 

 

If you are unable to attend on the date given please let us know as soon as possible and we will endevour to find you a place on another workshop but there will be a fee of £10 required if we are unable to fill the position left by your cancellation.

 

I have read and agree to the details of booking

Signature.......................................................................................