Imagework - Dina Glouberman

The Joy of Burnout
www.joyofburnout.com

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

Booking Form

Steps to Brilliance 2009

Please PRINT OUT PAGE and complete the form below.
I should like to register for:

Fundamentals. All four weekends Early Bird by December 31st 2008	£995
Phased payments over individual weekends:
Re writing my life stories - February 6th-8th 2009 with Hermione Elliott and Geraldine Lander	£270
Dreaming and healing - April 24th-26th 2009 with Hermione Elliott and Geraldine Lander	£270
Creating my future Life - June 19th-21st 2009 with Hermione Elliott and Marsha Lomond	£270
Stepping into the bigger picture - October 9th -11th '09 with Dina Glouberman and Hermione Elliott	£270
Practitioners Training (10 days) for those who have already completed the Fundamentals of Imagework Training, November 20-24th 2009 + March 5-9th 2010 Early bird discount by October 13th 2009	£995 £895
Full Certificate & Diploma (Fundamentals & Practitioners) Early bird discount by February 8th 2009	£1790

Name:

Address

Telephone

E-mail:

Date

Conditions
A non-refundable deposit of £150 is payable for the course. To obtain the early bird discount, a cheque for the full amount, or the deposit plus a series of post-dated cheques (dated one month before each weekend) 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 IMAGEWORK COURSES, to:
Hermione Elliott,

4 The Mount, 47 Grange Rd, Lewes, BN7 1TT
Tel: 07767 638 074
Email: hermione.elliott@burnoutsolutions.com

Times ( Fundamentals course)

Friday: 10.30 for 11 - 7pm
(Please plan to arrive at 10.30 so that you can register on the course, meet people and get your bearings)
Saturday - Sunday: 10:15 - 6:15

Venue:
Soroptimists Residential Club, Bayswater Rd, Central London.