Permaculture Design Course Booking Form Direct

All information given through this booking form will be kept private and will be kept confidential.

ESSENTIAL INFORMATION

First Name(*)
Please let us know your name.

Last Name(*)
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Your Email(*)
Please let us know your email address.

House Name/Number & Street

Village / Town / City
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Postcode
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Country
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Home Phone
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Mobile Phone
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Emergency Contact
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Please describe any learning or physical needs you have that we could support you with
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OTHER USEFUL INFORMATION

How did you
hear about us?
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Year of Birth
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Do you identify as
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Any other questions or
information for us?
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COURSE & FEES

(*)
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£700 - Individual income more than £25k/yr (or funded by an organisation)
£600 - Individual income £18-25k/yr (or funded by a non-profit or charity)
£500 - Individual income less than £18k/yr
£400 - Individual income less than £10k/yr
£300 - Concessionary (limited spaces for people receiving benefits, state pension or otherwise of limited financial means)

We do not want finances to be a barrier for you to do the course so please do contact us to discuss options.

Course fee(*)
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Total
0.00 GBP

 

Preview of your data

First Name: .
Last Name: .
Email: .
House Name/No Street: .
Village/Town/City: .
Postcode: .
Country: .
Home Phone: .
Mobile Phone: .
Emergency Contact: .
Learning or Physical Needs: .
How did you hear about us? .
Year of Birth: .
Gender: .
Any other questions: .
Course: .
Fee: .

If everything looks OK, click SEND, otherwise click PREV to amend.

"Ben & Lee are a great team, between them they have years of experience in a very wide range of permaculture and related areas. A course with both of them at the helm promises to be both fun and deeply informative."
Hannah Thorogood (experienced permaculture teacher)