HOLLYWOOD SWING BOOKING FORM Please indicate in the end columns which course(s) and or workshop(s) you wish to attend. (If you are booking for more than one person, please put the number of people wishing to attend in the Places column.) Course/Workshop Event Times Day Dates Cost Places Amount £   THE WHIP WORKS 10.30 - 4pm Registration: 10.15pm SAT 14th June Cost is £30 per person       TOTAL

I ENCLOSE A CHEQUE FOR: ________________________________ NAME: ________________________________________________ SEX: M / F EMAIL: _______________________________________________________ ADDRESS: __________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ TELEPHONE (day): ___________________________________ TELEPHONE (eve): ___________________________________ TELEPHONE (mob): ___________________________________ PARTNERS NAME: ________________________________________________ SEX: M/ F EMAIL: _______________________________________________________

Please print off this form and send it to: HOLLYWOOD SWING, 3 IRELAND PLACE, BOWES PARK, LONDON N22 8YY PLEASE MAKE CHEQUES PAYABLE TO: R. AUSTIN For further info call: 020 8829 0919 / 07790 762932 or email robertandclaire@zoom.co.uk