Home Booking form to Print out
Please complete and send to: Boghill Centre, Boghill, Kilfenora, Co.Clare, Ireland
First Name .Surname
Male / Female Date of Birth .
Address
..
Telephone
Mob Phone
E-mail
.............
In case of emergency list contact person and telephone
number
.........................................................................................................................................................
Have you any medical condition we should know
about?..................................................
Dietary requirements
..
What kind of accommodation would you like? Hostel
*
- Private Room
* - Double Room
*
For a Double room please identify the person
sharing..................................................................
What kind of workshop do you want to
follow?..........................................
If a music workshop what instrument do you
play?............................................
How long have you been playing?............
Date workshop
Do you want to stay additional nights?
Y / N
(21hostel , 32 private room)
Please specify which night(s)............................................................................................
Do you need a pick up from airport / station ? Y / N
(contact us to arrange- extra charge applies)
Where did you hear about the Boghill
Centre?.................................................
Discount past participants 5% Y/N Discount
second workshop 5%
Y/N Discount advance payment 5% Y/N
I have enclosed
................Deposit / Full Price
I have paid by bank draft.................
Bank Details: Ulster Bank, Ennis Branch, Sort Code:985680 Acc No:
52240040
Swift code is:ULSB IE2D Iban no is: IE 10 ULSB 98
56 80 52240040
The Boghill Centre
A non-refundable deposit of 50 is required to secure a place.
Full
payment is required
four
weeks before departure.
Cheques in other currencies are accepted. Use current exchange
rate, balance paid on arrival
Signature
Date
.