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Please could you print out this form, complete it and post it with the appropriate fee
- Sterling cheques made payable to Marilyn Allis - and send to the address below

Please email first to confirm availability to Marilyn.Allis@btopenworld.com

I would like to book the ............................................................................................................
(title of course)

Workshops  
Gallery  
News  
Biography  
   

On the ........................................................................................................(date)

I enclose a cheque for ..............................................................


Name .........................................................................................................................................

Address .....................................................................................................................................

Town ..........................................................................................................................................

County .......................................................................................................................................

Postcode ...................................................................................................................................

Country .......................................................................................................................................

Phone .........................................................................................................................................

Email ..........................................................................................................................................

Please send your form & cheque to ....

Marilyn Allis, The Studio, Mill Lane Gallery, 9 Mill Lane, Wimborne, Dorset, BH21 1JQ

Tel (The Studio) : 01202  880084