WORKSHOP BOOKING FORM

Name of Event:- ___________________________________________

Date/Time of Event:- _______________________________________

Location/Venue of Event:- ___________________________________

Host Organisation:- ________________________________________

Contact Details:- __________________________________________

Name:- __________________________________________________

Phone:- _________________________________________________

Email:- __________________________________________________

Event Details

Type of Presentation: Circle one:

Sensory Detective Workshop® Customised Workshop

Length of Presentation: - ____________________________________

Expected Attendance No: - __________________________________

I agree to the Fees, Travel and Accommodation requirements for
Nelle Frances as outlined.

FEE:_________________ + travel + accommodation
** Fees quoted are for 35 participants. Extras
will be charged at a per head cost **

Organisation: ________________________________

Name of Authorised Signatory: ________________________________

Signature: _____________________________ Date: ____/____/____

Other Information/Comments:

Refund/Cancellation Policy:- Cancellations received within 48 hours of
the workshop booking form being received by Nelle Frances will be
refunded in full. No refunds will be given thereafter.