

Conference/Seminar/
Workshop Booking Form
Name*........................................................................................................................................................
Organisation Name*..................................................... Job Title*...............................................................
Address .....................................................................................................................................................
Postcode .................................................................
Tel ..........................................................................
Email address .............................................................................
Conference/ Seminar date and title .........................................................................................................
I enclose payment by cheque of £ ............................
If you are paying our concessionary rate please let us know which organisation you volunteer for/ which institution you study at/ other relevant reasons including unemployment:
………………………………………………………………......................................................................................................
We have to trust the choice to pay a concessionary place to your discretion as the applicant. Please note that Ffynnon PPD is a charity offering low cost events and that with our concessionary rate we want to encourage people to come who are on low household incomes.
Cancellations more than 14 days before the event will receive a full refund less £15 administration charge. Regrettably, cancellation requests after this time cannot be refunded although substitute delegates are acceptable providing we receive a minimum of 24 hours notice.
Where do you live: Wales □ England □ Scotland □ Northern Ireland □ Republic of Ireland □
Other.............................................
Where did you hear about Ffynnon (BACP, AHPP, Self and Society, Internet etc)? ...................................................
Would you be interested in becoming a ‘Ffynnon Friend’? □
Ffynnon PPD was registered as a Charity on the 21st of October 2010 (Registration Number 1138494). We have set up ‘Ffynnon Friends’ to financially support our endeavours with a donation. All friends will receive newsletters on a regular basis.
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Ffynnon PPD is a Company Limited by Guarantee & Registered Charity Registration Number: 1138494.
As associate members of UKAHPP (UK Association of Humanistic Psychology Practitioners) we adhere to their ethical codes and procedures.
Member of BAPCA (The British Association for the Person-Centred Approach).
Ffynnon Patron: Lay Canon Professor Brian Thorne, FBACP, FCollP, FRSA .
Ffynnon Executive Director: Jonathan Skipper MA, Dip Surv, PCAT Cert.
Please print clearly and post with cheque payable to ‘Ffynnon PPD’ to:
Ffynnon PPD, PO Box 246, OSWESTRY, SY10 1ED
Acknowledgement & other details will be sent to you.
Please print clearly especially your email address. Details marked * may be used for the delegate list and your badge.