Practical Permaculture Gardening, 2-3 October 2010

£165 - Individual paid for by their organisation or a funder

£165 - Individual income more than 25k yr

£130 - Individual income 18-25k/yr

£95 - Individual waged less than 18k/yr

£60 - Concessionary (available to people in receipt of means tested benefits, fulltime students & OAPs. To claim please state your reason and benefit number below)

£30 - Brighton Permaculture Trust Volunteer (please give details below)

Sorry we can only take donations in whole pounds - no text, pennies or decimal point - thank you

Tick to pay later by cheque or postal order.
Leave unchecked if you would like to pay now online.

For concessionary places please state reason you qualify (and benefit number if relevant). For volunteer fee please state what volunteering you have done for us. For free place please state who authorised it. For free events please ignore this box.

(if different from above)

BPT Mailing list

LEAVING THE BOX EMPTY WILL REMOVE YOU FROM OUR MAILING LIST IF YOU ARE ALREADY ON IT. Tick this box to receive monthly email information about Brighton Permaculture Trust courses, events and other activities. (We will not pass your details on to any third parties)

Yes No
Can we contact you via email up to 5pm the day before this course/event? We normally contact people 3-10 days prior to a course/event to confirm details, however we may want to contact you closer to the course/event if there any last minute issues.

Name and number of someone we can contact in case of emergencies during the course/event

Email address Postal Address Day Time Phone Evening Phone
Do you want the above contact information to be shared with others attending the course/event? Sharing this information can help with networking and lift sharing. We will send out this information in advance of the course/event and will only list your town/city/district if you select ‘no’ to sharing your postal address.

I will pay the full course fees now or within 3 days of receiving a request to do so. I understand that my place is not secured until I have made full payment.
Please ignore for free events

I have read and understood the course/event information. I accept the conditions stated in the course/event information and on this form. The details I have given are correct to the best of my knowledge.

male female ( unselect )

registered as unemployed (seeking work)

unwaged (not seeking work, including retired)

employed part time (including self employed)

employed full time (including self employed)

a full time student