REGISTRATION FORM

Please print and return this form, together with a cheque or postal order (in sterling) (for non-refundable deposit of £25 or, preferably, the full amount) made out to ‘The Thomas Merton Society’ to:
                        Thea van Dam, 11a The Retreat, Princes Risborough, Bucks. HP27 0JG.United Kingdom.

Name:      ______________________________________________________________

Address:   _____________________________________________________________

                 ______________________________________________________________

                 ______________________________________________________________

Telephone: _______________________________ E-mail:  _______________________

Total enclosed (all cheques must be in sterling):   ________________

Cancellation Policy
If you have to cancel your place before January 31st a full refund of money will be paid to you, less the non-refundable deposit of £25.
If cancelling between February 1st—28th, 50% of your fees will be payable.
If cancelling between March 1st—24th, 75% of your fees will be payable.
If cancelling after March 25th, full fees will be payable.

Accommodation: Accommodation is in single rooms. If you have any mobility problems and would prefer accommodation closer to the main conference facilities, or if you require ground floor accommodation, please indicate here:

 ______________________________________________________________

 Diet: If you have any particular dietary requirements, please indicate them here:

 ______________________________________________________________

 Other needs: If you would like to make us aware of any other needs, please indicate them here:

 ______________________________________________________________

 Please note: Once your form has been received you will receive an  acknowledgment by email or post.

Questions: If you have any questions about booking please contact Thea van Dam at the address above, or thea.vandam@virgin.net, or 01844 343190.