Marisa Martin Teaches Painting: Make a Provisional Booking - 2007 Season

If this form does not meet your needs, or you have any comments, please contact us directly.

Please give us the contact details for the person making the booking
Please leave blank anything that is not appropriate for your circumstances.

Please fill in at least the items marked with a '*' and make sure we can contact you!

If you hover the mouse pointer over the form you should get some hints on what to enter

* Forename:

* Surname:

Daytime telephone:

Evening telephone:

* Email address:

Fax:

* House & Street/Road:

Address continued:

Address continued:

* Town/City:

* Postcode:

County/Area:

* Country:

 * How many people?

Staying at: (if other:)

Board required:

Duration

starting from Monday   [check dates and availability]

How did you hear of us?:

Any special 
requirement:

* Please give us the details for the persons you are booking for
(please include your details here if you are making the booking and also attending the course):

First Artist or Guest

Forename:

Surname

Male/female:

Age group:

Painting skill:

Preferred medium:

Sharing with guest

Dietary preferences

Please advise us separately of any special dietary issues

Physical abilities

Please advise us separately of any important health issues

Second Artist or Guest

Forename:

Surname

Male/female:

Age group:

Painting skill:

Preferred medium:

Sharing with guest

Dietary preferences

Please advise us separately of any special dietary issues

Physical abilities

Please advise us separately of any important health issues

Third Artist or Guest

Forename:

Surname

Male/female:

Age group:

Painting skill:

Preferred medium:

Sharing with guest

Dietary preferences

Please advise us separately of any special dietary issues

Physical abilities

Please advise us separately of any important health issues

Fourth Artist or Guest

Forename:

Surname

Male/female:

Age group:

Painting skill:

Preferred medium:

Sharing with guest

Dietary preferences

Please advise us separately of any special dietary issues

Physical abilities

Please advise us separately of any important health issues

* Please ensure that the person making the booking ticks ALL FOUR boxes below to indicate agreement that:

I am authorised by all the persons listed here to make this booking on behalf of my party
I am over 18 years of age
I agree to all the booking conditions, which I have read
All persons listed on this form are covered by suitable insurance

* Now please indicate how you would prefer to pay:

I wish to pay (please select one)
a deposit of 150 Euros per person per week
If within 8 weeks of the start date, the full amount due
    which I will pay by means of

UK Cheque (which I will send by post after receiving your confirmation)
Euro Cheque (which I will send by post after receiving your confirmation)
VISA or other credit/debit card (2% surcharge payable - please advise the card details by phone)
Bank transfer (please contact us by phone for account details)
Other (please specify)

* Indicate how you would prefer us to contact you:

Please confirm this booking to me at my address as given above by:
E-mail Normal post

If booking within eight weeks of the course start date the full amount must be paid.

When you are happy that the form is correct and complete, push the 'Send' button below to send your booking request.

You will receive an email response by return confirming the request.

As soon as we have received the provisional booking form and the deposit (or full payment if within eight weeks of the start date), we will confirm your booking.

Would you like to contact us?

Copyright © 2007 Marisa Martin Teaches Painting: All rights reserved. Version 2.07 Revised: 07 May 2007