Elementor #2391 – Reflexology Lincoln

Workshop Registration Form (#2)

Indian Head Massage Booking Form

Date : January 22/23 2022 Time: 9.30 to 4.30 Address : Ibis Hotel, Runcorn Road,

Lincoln, LN6 3QZ

Name

Address

Address Line 1

Address Line 2

City

Post Code

Phone

Qualifications (If any)

Checkbox Field

I consent to this website storing my information in order to respond to my booking.

Please tick relevant box

Payment in full £225 by Bank Transfer: P&G Underwood Ltd, Barclays Bank PLC 20-50-21, Account Number 10676179

£75 Deposit to bank details above. I will pay the balance of £150 by 5th January 2022

Payment by card - contact Glenys on: 07971998648