header djd


3 Queen Street

Hadleigh
Ipswich, Suffolk
IP7 5DZ

Tel: 01473 823755

Course Application Form
  1. Fields marked * are mandatory.
  2. Name (including title)*
    Invalid Input
  3. Address (including postcode)*
    Invalid Input
  4. Telephone*
    Invalid Input
  5. Mobile
    Invalid Input
  6. E-mail*
    Invalid Input
  7. Course Name*
    Invalid Input
  8. Course Date*

    Invalid Input
  9. Payment: Places are secured only on receipt of payment. Please either telephone to pay by card, or send cheque payable to "D J Dunstone" for the appropriate amount.
    Terms and conditions of booking:
    All efforts will be made to run the course on the date stated; however, in the event of cancellation by me all fees paid will be refunded in full.
    Following confirmation of your place, the following cancellation policy will apply:
    1. Up to six weeks before the course, a full refund of the fee less a £50.00 administration fee;
    2. Up to two weeks before the course, 50% refund of the fee;
    3. Within two weeks of the course, no refund will be considered.

  10.        
  11. Security Captcha*
    Security Captcha
      Refresh captchaInvalid Input
    Please repeat the captcha letters in box below.
  12.