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Coldwell

Coldwell Activity Centre, nr Burnley, Lancs

Fri 27th to Mon 30th September 2019
Places available
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Event page Print Form

Please read the ECC event terms and conditions first, and then complete this form as fully as possible. Required information is shown by a *. Please also review our privacy policy which explains what we will do with the information you provide here.

Once you've filled in the form, click on 'Submit my booking' to send it to us. The booking person for this event is Jon Homer and he'll contact you to acknowledge receipt of your booking as soon as possible, but your place won't be reserved for you until we receive your deposit. Jon will contact you again on receipt of your deposit to confirm your place on the event.

If you want to send in your booking by post instead, you can print off a Booking Form here.

Jon's contact details:

Address
c/o 15 Rankine House, Bath Terrace, London SE1 6PL

Email
jonghomer [at] hotmail.com

Phone
07974 477206

Please remember that the people handling your booking and payment are volunteers and won't necessarily be able to send you confirmation immediately. Please allow up to 7 days for confirmation, longer if you pay by cheque.

Your name and contact details

We will use the personal information you provide here to contact you about your booking. After the event has finished, we will compile a contact address list which will be shared with the other participants. You must give your consent to allow us to do this below, and you can choose which information you wish to be shared. You can change your mind at the end of the event as the organisers will ask you to confirm your details. All other booking information you supply on this page is kept confidential.

After you have attended your first event, you become a member of ECC for life, and we will update our membership records with the latest contact details you give us here. We retain membership records indefinitely but you can ask us to amend or delete them at any time. If you do not attend the event for any reason, we will delete your booking information from our records and your membership details won't be changed..

Your name*
Email*
Address*
Telephone

I consent to the following information being shared with other participants via a contact address list after the event has finished

   Most participants like to stay in touch after the event - tick this box to ensure you aren't forgotten!

           

Some useful information for us

Have you been on an ECC event before? *

Travel to the event

I plan to travel to the event by

Event information

I may be interested in organising the following workshops

I have the following particular needs (rather than preferences)

Emergency Contact

Please nominate someone we can contact in case of emergency

Their name*
Their relationship to you
Their contact phone number*

Payment

Payments for ECC events are on a sliding scale according to your income, and you are invited to pay as much or as little as you can afford. The breakeven cost for this event is £130.00 and the rates for different income levels are shown below. If you can't afford the concessionary rate, please contact the booking person as you may be able to apply for a bursary.

Note the first £25 of your booking payment is non-returnable. See the terms and conditions for details of our refund policy.

Concessionary rate   (for people living at benefit levels) £65
Low income   (£10k to £20k) £130
Average income   (£20k to £30k) £150
High income   (£30k or more) £175
Breakeven cost£130

The total amount I will pay for the event is*

The deposit I will pay now is (at least 25%, but you can pay in full if you wish)*

I will send my deposit by*
We'll send you payment details when you've booked, or see our How to Pay page NewWindowIcon

Booking conditions

You must accept all these conditions by ticking the boxes before you submit your booking

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