CELTIC SPIRIT CULTURE WEEKS BOOKING FORM

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I would like to register for Programme:

Name:
Address:
Telephone: Home:
Work: 
Email:
Date of Birth Day: Month: Year:
 
Vegetarian:  I eat fish I eat dairy products
 
Knowledge of English: Good Medium Little
 
Only for Programme A (Traditional Echoes in Song and Dance),
I am prepared to participate in: Dancing Singing
 
If the above Programme is booked out, I would also be interested in registering for
Programme:
 
Accommodation I require: 
Twin room with Private Bath or No Private Bath
Twin room, ready to share with Private Bath  or No Private Bath
Single room  Essential Preferred
with  Private Bath  or No Private Bath
Please note: The number of single rooms is limited (for Galway/Cork final night in urgent cases only).
 Single room in Galway, urgent (+30 Euro) 
I would like to book the following additional nights:
On Inis Mór: (number of nights) on (state exact dates)
In Galway: (number of nights) on (state exact dates)
In Dublin: (number of nights) on (state exact dates)

TERMS 
Payment:
A payment of EURO 250 is to be paid on receipt of confirmation and invoice. The balance of the fee is to be paid 30 days befor the course commences. Payment, in Euro, should be made to Bank of Ireland, 43 Eyre Square, Galway, and loged into Bank Account code 90-38-08, Account No.: 24127321, Elizabeth Zollinger.

Cancellation:
On cancellation, a Euro 30 deposit fee plus percentage of the course fee shall be retained (31-59 days prior to commencement of course - 40%; 1-30 days before commencement - 60%; notice not given - 100%)

Insurance:
Please note that liability is not accepted for injury, illness or loss af personal property. Participants ar advised to obtain insurance to their own requirements befor arrival.

AGREEMENT
I have read the Terms and Conditions of Booking and I agree to abide by them.

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Elizabeth Zollinger, Neumarkt 11, 8001 Zurich, Tel./Fax: 0041 (0)1 - 252 09 18 (Jan. - June)
or
Inis Mór, Aran Islands, Co. Galway, Ireland, Tel./Fax: 00353 (0)99 - 61424 (July - Dec.)
eMail: info@irish-culture.ch
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