Gender : Man Woman

Name :

Address :

ZIP code :

City/town :

Country :

E-mail address :

I want to apply for the course : Select a Course08-04-2012 -> 14-04-2012 : terra sigillata29-04-2012 -> 05-05-2012 : throwingcourse13-05-2012 -> 19-05-2012 : throwingcourse27-05-2012 -> 02-06-2012 : raku and paperclay01-07-2012 -> 07-07-2012 : gast08-07-2012 -> 14-07-2012 : throwing and making glazes15-07-2012 -> 23-07-2012 : throwing and saltfire12-08-2012 -> 18-08-2012 : theme and teacher to be determined19-08-2012 -> 25-08-2012 : paperclay plus -porcelain and paperclay02-09-2012 -> 08-09-2012 : throwing and firing22-09-2012 -> 30-09-2012 : Saltgalze special with Richard Dewar14-10-2012 -> 21-10-2012 : throwingweek in La Borne22-10-2012 -> 28-10-2012 : theme and teacher to be determined

I would like a bedroom and bring my own bedding (+65€)
I would like a bedroom with bedding included (+80€)
I would like to camp on your property

I accept the terms and conditions:

1. After confirmation please pay a deposit of 75 Euros into our account or send us a cheque. The balance is due 4 weeks prior to course commencement and should be paid into the above account (or please discuss payment directly with us).
2. Cancellation: Cancellation more than 4 weeks prior to the course commencement is subject to a cancellation fee of 75 Euros. Within 4 weeks the full amount is due.
3. We recommend that you take out both cancellation and private travel insurance. Your stay at our place is at your own risk.