Silk Road Academy - Booking Form

SILK ROAD ACADEMY
MOSAIC OF MAGNIFICENCE - FROM SCIENCE TO ORIENTAL ART OF LIVING

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BOOKING FORM

To register please complete the form below.

If you prefer to do the application by hand and then send by fax or with payment by post, please download the form here.

Booking Reference ID: Please create your 8-digit booking reference consisting of your initials (first & surname - FS) and booking date (YYMMDD). Please use this reference ID when identifying your booking and payment.

BOOKING DETAILS	Mr Mrs Ms Other	INVOICE ADDRESS	(change only if different from booking details)
First Name *		If any aspect of your billing address or details are different from you regular booking address, please enter all the different details here (box on right). Not needed if no invoice required.	same as regular booking address
Surname *
Address
Town / City
County / State
Post Code / Zip
Country / Nation
Email Address *
Contact Telephone *		Do you require an invoice?	Yes No
Phone 2 (mobile)		Organisation (for invoice)
Additional People	confirmation will only be sent to main applicant	Name of Person 2:
Name of Person 3:		Name of Person 4:

* Required fields. Please make sure your email address is entered correctly, as otherwise the form will not transfer properly.

Workshop Date: Workshop Name:

Preferred Mode of Contact: Telephone Email Fax Post (Mobile Text )

How did you hear of this workshop?

Please be more specific
(e.g. name of referring person, name of newspaper, source of email etc.)

Fees:

Basic fees are £ 295.- per person per workshop.

Total Fee Calculation: Enter / amend as appropriate

Number of people: x £

Total Fees

Payment

	Cheque number mailed	Cheque must be in UK £ Stirling, payable to 'Transcultural Synergy Ltd'. Mail to: Silk Road Academy, Transcultural Synergy, Legacy Centre Suite 205, Hanworth Trading Estate, Hampton Road West, Hanworth, Middx, TW13 6DH, ENGLAND
	Bank Transfer (BACS)	Bank Details: Llyods Bank, Staines Branch, Sort Code: 30-94-42, Account #: 03553885 Account name: Transcultural Synergy Ltd

Please put your unique booking reference ID (above) at the back of the cheque or as your BACS reference code.

Please note - Cancellation charges: Up to 10 days before workshop: full refund minus £10 admin charge; 10 - 5 days before workshop: 50% refund; 4 - 1 days before workshop: 25% refund; Less than 24 hours: no refund. Note that others' introducers discounts will also be disqualified accordingly.

Any special comments, notes or special requirements:

Place Booking
Please make sure your email address is entered correctly, as otherwise the form will not transfer properly.

To reset, press To return to home page click here

Note: After submitting you will see a confirmation screen and you will also receive an automatic confirmation email immediately after submitting the form. If you do not receive the email, it is likely that we have not received the form either, so please submit it again. You will hear from us directly fairly quickly after that, but if you do not hear from us within a week, please contact us again. Please ensure the email address and contact number are entered correctly.

A booking will only be held for max 3 days (in case of full subscription) until payment is received, so please ensure you send payment immediately - thank you. A full confirmation will be emailed to you once payment is received.

THANK YOU!