Registration Form

NAME:_______________________________________________________________

ADDRESS:____________________________________________________________
_____________________________________________________________________

Country: _______________

Zip/Post Code: __________________ TEL.NO: (inc code) _______________________

Email: _____________________________


I wish to register for the White Dragon Spirals at the next start date.

Please send me the relevant essence, information and feedback(optional) book

Payment:
Payment by Visa/MasterCard/Maestro
Name on card: ………………………………………
Card Number: ... ……./ .……./ ………/ ..…….
Expiry date: ……./ …….
Last 3 digits on signing strip: ……..
Issue Number (Maestro) ……

I wish to pay £25 for registration and £25 for my first White Dragon Spiral


Please sign at the bottom of this form to confirm the amount MCS can process by card.
Sterling Cheques made payable to ‘MCS’ please
or send funds via PayPal to ‘mcs@greenmantrees.demon.co.uk’

I confirm that I have read and understood the Booking Terms and Conditions explained in the accompanying download and agree to them.

Signature___________________________________ Name (please print)
Date:
Please return to: MCS, PO Box 6, Exminster, Exeter, Devon, UK EX6 8YE, Tel/Fax: +44 (0) 1392 832005 - Thank you
© 2010 MCS