booking form for family constellation therapy workshop

please print+post to: Rosemary Napper, TAworks Ltd, 42 Cowley Road, Oxford OX4 1HZ. Cheques should be made payable to 'TA Works Ltd', receipt and directions plus accommodation info will be emailed.
for queries, email: or tel: 01865 250528.

Name to be called by :
Family name :
Postal address :
Email :
Phone :
Mobile :
I wish to be an issue holder @ £100
I wish to be a participant @ £80
  (please circle preference)

Payment enclosed : £

Please date and sign here: