Imagework - Dina Glouberman

The Joy of Burnout
www.joyofburnout.com

Holidays and Courses on the Greek Island of Skyros
www.skyros.com

Booking Form

Thinking Deeply Acting Wisely

Please print out page and complete the form below.
I should like to register for:

Fundamentals - All three weekends £945 Please note that we are now taking bookings for Part II and Part III. A new Part I will be offered next year.
Individual weekends:
Part I May 12th – 15th 2006 (4 days) £325 (Completed)
Part II October 6th – 9th 2006 (4 days) £325
Part III March 16th – 19th 2007 (4 days) £325
Practitioners Training (10 days) £875 September 28th – October 2nd 2007 February 29th – March 4th 2008 Early bird discount by March 19th 2007 - £825
Full Certificate/Diploma (Fundamentals + Practitioners) Early Bird discount by May 15th 2006 - £1625
Teachers Course £525 September 26th -29th 2008 (4 days) Early bird discount by March 4th 2008 - £475

Name:

Address

Telephone

E-mail:

Date

Conditions
A non-refundable deposit of £50 is payable for each course. To obtain the early bird discount, a cheque for the full amount, or the deposits plus a series of post-dated cheques (dated one month before each course) is required.

In case of cancellation:
up to 2 weeks before, the deposit only is retained
within two weeks, 50% of fee may be retained
if less than 24hours notice, the full fee may be retained

Please return this form, enclosing cheques made out to DINA GLOUBERMAN, to:
Hermione Elliott,
4 The Mount, 47 Grange Rd, Lewes, BN7 1TT
Tel/fax: 07767 638 074
Email: hermione.elliott@burnoutsolutions.com

The Logistics

Times (apply to the Fundamentals course only)

Friday: 11-7
(Please plan to arrive at 10.30 so that you can register on the course, meet people and get your bearings)
Saturday - Sunday: 10:00-6:00
Monday: 10-4

Venue:
Central London. Columbia Hotel, Lancaster Gate, London.