Winter Solstice Booking Form
A 5Rhythms workshop with Neil Pinnock
This workshop will run between 3.00pm and 7pm on Friday December 20th 2019
Friends Meeting House, Orchard Road, Malvern, WR14 3DA

Contact - 07761 856154
Email address *
Your Details
-----Wild Heart Dance never has, and never will pass on your information to third parties-----
Name *
Your answer
Mobile phone contact number
Your answer
Is it ok to add your email to Neil's mailing list? (your details will not be shared - GDPR) *
Advanced booking £25 before December 1st
£30 after, £33 on the door

If you are not able to pay the full price but would like to attend then please contact - We have a bursary fund that could assist with some of your payment

*Bursary Fund*
Feel free to make a donation to the Bursary Fund - add any amount to final payment.
Please make payments by bank transfer
Bank Transfer: Sort: 40-07-33 Account: 12032104 (use ‘Solstice’ as reference).

or by cheque,
Make cheques payable to Mr N Pinnock and send to Wildways, Netherton, Shropshire, WV16 6NJ.
Options *
Final payment *
Your answer
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