Ty Elis Counselling & Psychotherapy

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Ty Elis Counselling & Psychotherapy

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

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