AVP North West Booking Form

Workshop Date and Place
Manchester May 1-3Aston June 5-7Eccles July 3-5

Name*

Email

Phone*

Who is Paying?
SelfSocial ServicesOther

If an organisation, is paying for you, please enter their name:

Workshop fee to be paid by

If Social Services have agreed to pay, please give details about your social worker:

Social Worker Name

Social Worker Email

Any other information you would like us to have. If you prefer to have workshop details sent by post, please enter your postal address.

In accordance with the Data Protection Act, I agree to you keeping my information on file.

Which is bigger, 9 or 1?