The Bridge Foundation for Psychotherapy and the Arts Conferences and Events Booking Form

To book one of the Bridge Foundation events please print this form, complete and send with payment by cheque and a stamped addressed envelope to:

The Bridge Foundation, 13 Sydenham Road, Bristol BS6 5SH

Tel: 0117 9424510       E-mail: info@bridgefoundation.org.uk (alternatively e-mail for bank details)

I would like to book:

______ place(s) at King Lear Conference on Saturday 17th March 2012    

(£35 - £25 unwaged)                   

£_____

______ ticket(s) to see King Lear at the Tobacco Factory on Friday 16th March 2012    

(£20 each)  Please note that tickets for the play need to be booked by 17th February 2012                £_____

______ place(s) at Cutting Away Our Future on Saturday 26th May 2012    

(£35 - £10 unwaged)                   

£_____

(£10 cancellation fee, no refunds if cancelled less than 8 days before the conference)

 I enclose a donation to the Bridge Foundation - £5 helps to cover the cost of mailings, £35 helps provide a counselling session to a family who would not normally have access to such a service.

£_____

Total cheque enclosed £_____

Name:________________________      Occupation:_______________________________

Address:_________________________________________________________________

Postcode:____________ email:_________________________ Tel:___________________

The Bridge Foundation for Psychotherapy and the Arts                    

Registered Charity No. 1073759