Contemporary Retirement Coaching

2010 Retirement Workshops

Registration Form

(Please print this form and mail it with your cheque)

     Name(s) __________________________________________________________

     Address ___________________________________________________________

     __________________________________________________________________

     Town __________________________________ County ____________________

     Phone_________________________ Fax ________________________________

     E-mail ____________________________________________________________

     Registration for: 

                          ____   January 19/20 – Manchester

                          ____   February 16/17 – Manchester

                          ____   March 16/17 – Manchester

                          ____   April 13/14 – Manchester

                          ____   May 18/19 – Manchester

                          ____   June 15/16 – Manchester

                          ____   July 13/14 – Manchester

                          ____   September 14/15  – Manchester

                          ____   October 12/13 – Manchester

          ____   November 23/24  – Manchester

          ____   December 14/15 – Manchester

          _____ (number) person(s) @ £397 each

         
          _____ (number) couple(s) @ £697 each 

          Total enclosed £ __________

          Do you have any special dietary requirements?
 

          ______________________________________________________

          ______________________________________________________

          ______________________________________________________

          Do you have any mobility requirements?

          ______________________________________________________

          ______________________________________________________

          ______________________________________________________

          Please make your cheque payable to Carole Ann Harrison

          Refund policy: If notice of cancellation is received after 14 days before
          the course commences, 50% of the fee is payable.  If notice of cancellation
          is received 7 days or less from the commencement of the course, the full
          fee is payable.                            

          Please return to:   We are currently in the process of moving our office.  Please
                                         email me at ann@annharrisonlifecoaching.com for our
                                         temporary address

          Where did you learn about this course?

          ___ Internet search               ___ Postcard mailing                

          ___ Word of Mouth/Recommendation