Pre Workshop Information Form

Pre Workshop Information

Please complete this form, print it , then send it to the address at the end of the form. Please be sure to check that when the form is printed, all your data is visible.

Name:

Address:

Town:

County:

Postcode:

Daytime Telephone Number:

E-Mail:

Preferred Course Dates:

What species of bird/s do you keep?

What are you hoping to achieve from this workshop?

What examples of specific behaviours on video or DVD will you bring?

Any specific problem behaviours or issues are you hoping to address

The two day workshop price is £200 for WPT members or £220 for non-members.
Payment should be made by one of the two options below:

Amount Being Paid:

Chosen Payment Method:

If Cheque;
Please make payable to the World Parrot Trust

If Credit Card;
Please enter credit card details by hand after printing,
as this is currently not a secure page.

Credit Card Number
Credit Card Type (Mastercard/Visa/Switch)
Card Expiry Date
Issue Number (Switch Only)
Signature of Cardholder (To be added after form has been printed)
Date

Please send this completed form to:
David Woolcock, The Flight School, Paradise Park, Hayle, Cornwall, TR27 4HB