5 Men Dancing Workshop Booking Form
Thank you for booking a place on the Improvisation Workshop
Mon April 28th – Thurs May 1st inclusive at movingartsbase. 10am - 5pm (6pm Thursday)
Please complete and return the form below.
Please note that the workshop is aimed at professional dancers or dance students with considerable experience in improvisation. Not beginners.
Name ________________________________________________________________________
I enclose a cheque for the deposit of £40.00 _____ non refundable
(Remaining £105.00 to be paid on arrival)
or
I enclose a cheque for the full amount of £145.00* _____
*This includes a ticket for one performance of 5 Men Dancing at the Place. Please indicate which night you prefer:
Friday 2nd May _____
Saturday 3rd May _____
Contact phone number _______________________________________
Email _______________________________________
Please can you provide details of any special requirements you may have to enable us to prepare the best learning environment for you.
______________________________________________________________________________
______________________________________________________________________________
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Please makes cheques payable to adam benjamin and send together with booking form to :
adam benjamin
7 Rush Park Terrace
Gunnislake
Cornwall PL18 9NR
The workshop will be held at: movingartsbase
134 Liverpool Road
Islington
London N1 1LA nearest tube Angel Islington
or phone 00 44 (0) 207 609 6969