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Name
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Address
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Tel No. (day)
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Tel No. (evening)
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E-mail
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Dance/Drum/Writing Experience
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| A non-refundable deposit of £100 will
be required to confirm your booking by 1st May 2005. Balance due 1st
August |
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| I/WE wish to book for (circle your choice) |
| Deepening in Dance with Karine |
23rd - 30th August 2007 |
Cheque to NURABIA |
| Dance & Drum with Karine&Chas T |
10th - 17th September 2007 |
Cheque to NURABIA |
| Creative Writing with Jane Flood |
30th August - 6th September 2007 |
Cheque to K. BUTCHART |
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| I/WE would like to have (please circle) |
Basic Holiday
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Dance Only
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Drum Only
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Both Drum and Dance
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Creative Writing
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| Please send cheques to 7 Locks
Hill, Frome, Somerset, BA11 1NA |