Ty Elis Counselling & Psychotherapy
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Course title Venue Date Cost £
Total:
Name:
Address:
Postcode:
Telephone: Mobile:
Email:
Payment: Please make cheques payable to Tŷ Elis (Porthcawl Counselling Service) or a BACS transfer details on request.
Please note: For all fee paying courses, your booking cannot be accepted unless it is accompanied by full payment.
Additional Requirements: Please contact us if you have any special requirements for the course.
I have specific additional requirements as follows: Please Specify
Please return to: Val Davies, Administrator, Tŷ Elis (Porthcawl Counselling Service, 14 Victoria Avenue, Porthcawl CF36 3HG or e-mail: [email protected]
Tel: 01656 786486 Registered Charity Number: 1098986 Company No. 4756994 www.tyelis.org.uk