Bude Weekend Workshop booking form

Name *

First

Last

Email *

Dietary Payment payment

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Dietary requirements *

Dietary requirement/s

BACS payment information

Account Name RSCDS Cornwall Branch, Sort Code: 20-50-40. Account number 13942252

BACS Payment *

Please tick when you have paid £20 by BACS