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Name .................................. *Address .................................................... ............................................................... ............................................................... School name ................................................. *Evening ‘phone ........................................ *E-mail ............................................... Twin room required ........................................ sharing with .................................. *Please tick here if you do not want these details circulated to course members .......... *Please tick if you intend to bring your car ........... First-timer discount? ...................... Total payable: .......................... If you wish to apply for a £100 bursary, please enclose a letter of support from your Headteacher and apply as early as possible. Please enclose a deposit of £50 (non-returnable). Cheques payable to ARLT Send to: Pauline Cox-Smith, 158 Beecham Road, Reading RG30 2RE. Balance by 31st May.
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