eclipse BOOKING FORM

 

COURSE DATES ________ to _________ COURSE NUMBER __________ Reference Number: ML ____/_______/_____

 

Name (Mr / Mrs / Ms / Other) ________________________ First name _________________________________________

 

Surname _____________________________________________________________________________________________

 

Address ______________________________________________________________________________________________

 

__________________________________________________ Post Code ____________ Country ____________________

 

Telephone number (day) ________________________________ (evening) ____________________________________

 

Email address _____________________________ Approximate age (ie <18, 18>, 30 ­ 60, 60+) ___________________

 

I do / do not require accommodation _______________  Where did you hear about Eclipse? ________________

 

Extra night following course (£30.00 dinner, bed and breakfast) ­ please indicate ____________________________

 

If you would like a partner, not participating on course, to join you, please add £100.00 for five days YES / NO

All rooms are single occupation. UK residential fee includes 3 course dinner + glass of wine, full English breakfast, plus tea and coffee when appropriate! Holiday course is on bed and breakfast basis only

 

PLEASE ENCLOSE DEPOSIT CHEQUE FOR £50.00 ­ UK course/£150.00 ­ Holiday Course

MADE PAYABLE TO MIKE GOSS

 

For £……………..

PLEASE NOTE ­ Deposits are non-refundable. If cancellation is made less than 1 calendar month prior to UK course or 8 weeks for Holiday course full fees are payable (insurance is advisable). ECLIPSE reserves the right to recover full fees from clients.

 

Holiday course travel arrangements to location are not included in fee, but we can suggest airlines, etc.

For Sussex courses we can arrange to meet you at Polegate Station (on the Victoria ­ Eastbourne line) Please let us know in advance, so that we know which train you are on.

 

Also, we can book you a taxi from Gatwick & Heathrow Airports or Newhaven Seaport.

Special diets can be arranged, please indicate here if there are foods you don’t eat _______________________

 

QUESTIONNAIRE

Please fill in the answers to these questions as it helps Mike structure your course as near your requirements as possible.

 

Do you consider yourself a beginner / intermediate / advanced / photographic assistant / professional ?

Please state the make and model of your camera(s), lenses, & flash.

Make                Model                                     Lens Make Focal length(s) f/stop Range

 

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

 

Flash_____________________________________________________________________________________________

 

Please underline those areas of photography in which you are interested - Portraiture / landscape / still life / beauty / sports-action / macro (close up work) / studio lighting / wild-life / developing and printing other_____________________________________________________________________________________________

 

Are there any items you would like to cover on the course, or indeed any particular problems? Please write overleaf thanks!

 

Eclipse, Pelham Cottage, 120 Wish Hill, Old Willingdon, Eastbourne, East Sussex, BN20 9HL, UK. Phone: +44 (0) 1323 509035