REJUVANESSENCE

Booking Form

Please complete the form and send it with a deposit of £200 to the address below. Your deposit will secure your place. The outstanding balance to be paid 1 month before the start of the course. Payment can be made by cheque.

REGISTER NOW – PLACES ARE STRICTLY LIMITED

FIRST NAME:

 

LAST NAME:

 

ADDRESS AND POSTCODE:

 

DAYTIME TELEPHONE NUMBER:

MOBILE:

EMAIL:

CARD NO:

EXPIRY DATE:

SIGNED

This booking form is used for our UK Courses only.

Please check the foot of the UK Courses page for the relevant return address for your particular course; weekend or week.

Rejuvanessence Limited
Registered office:
38 Hertford Street,
London W1J 7SG
Registered company number: 3336680

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