| Name: |
| Address: |
| Telephone: |
| Email: |
| Date of birth: |
| Workshop title and dates: |
| Special dietary requirements? |
| Camera system: |
| Mac or PC? |
I have read, understood and agree to be bound by the terms and conditions for Images from the Edge photographic workshops: |
| Signature: |
| Printed: |
| Date: |
Return to: Niall Benvie, Images from the Edge 24 Park Road, Brechin, Angus DD9 7 AP . 01356 626 128. Cheques payable to NIALL BENVIE
We require that you take out insurance against the possibility of cancellation, as well as personal accident and equipment cover.
| Provider: | Policy Number: |
© Niall Benvie , February 2007