tESA CPD DAY—Booking form - The Equine Shiatsu Association

tESA CPD DAY—Booking form
All proceeds in aid of Remus Memorial Horse Sanctuary
6th June 2015 @ Remus Memorial Horse Sanctuary, Little Farm, Buttsbury Road, Ingatestone, Essex,
CM4 9NZ 9.30am—4.30pm
I would like to attend : Name………………………………………
Email……………………………………...
Mobile…………………………………..
First 6 places are free and £40 thereafter. Donations to Remus can be included as all monies received will
be passed on to the sanctuary.
Cheque enclosed for £
Direct payment to bank of £
Sort Code 40 43 48
IBAN
Account No 61226614 the Equine Shiatsu Assoc.
GB10MIDL40434861226614
Branch ID MIDLGB2156U
Forms with cheque to: Vivienne Isaac, 31 Wymeswold Rd, Hoton, Loughborough, Leics., LE12 5SN
If paying direct to bank, email info to:
vivienne.isaac652@btinternet.com
Coffee, tea and biscuits will be provided but please bring a pack lunch.