Disability Awareness Course, Jan 2004

Monday 19th to Fri 23th January 2004

Booking form

Please complete this booking form and send together with full payment to The Calvert Trust.

Name(s)__________________________________________

Organisation _______________________________________

Address __________________________________________

___________________________Post Code _____________

Daytime tel.no._____________________________________

E-mail address_____________________________________

I wish to book (please tick)

• Full Residential Course Cost £230
• Non Residential Course Cost £145 inc. lunch
• Daily Course Rate Cost £37.50 inc. lunch

I enclose payment of _______________________________

Dietry or other requirements:__________________________

Signed ________________________ Date______________

Please make cheques payable to 'The Calvert Trust' and send to: The Calvert Trust, Little Crosthwaite, Keswick, Cumbria, CA12 4QD.