Application Form
Application Form

To reserve a place on the therapy group, please state the date you would like to join.
Please enclose a non-refundable deposit of £60. The fee for remaining days will be due in advance of each meeting.
Cheques should be made payable to Sue Chamberlayne and sent to 76 Ditchling Road, Brighton, BN1 4SG.
Therapy Group Brighton State date you wish to join .............................
2 days, Fri/Sat, quarterly
Name: .....................................................................................................
Address: ..................................................................................................
................................................................................................................
Tel: .........................................................................................................
E.mail: .....................................................................................................