Course Application Form 2019

BAL MAIDEN STUDIO GLASS        –    APPLICATION FORM               

Please complete the form in CAPITAL LETTERS using a black pen. Please return this form to: Noreen Todd, Bal Maiden Studio Glass, Wheal Betty, Trevenen Bal, Helston, Cornwall TR13 0PR. Tel: 01326 574693/07808612074.Email: noreentodd@btinternet.com

Title: …………     Surname:…………………………………………       First Name(s):…………………………………       Address:………………………………………………………………………………………………

Post Code:……………………………………                                         Day Tel. no.cl. STD code):……………………    Mobile Tel. no.…………………………………

Date of Birth:……………(birthday greetings reasons only)     Gender: Male / Female                                    email: ………………………………………………………………………………………………..

Please ensure ALL fields are completed as we may contact you via post, text or email regarding your application.

COURSE YOU WISH TO BOOK

Course Title: ……………………………………………………………………………………………………………..  Dates: ……………………………………………………………………………………………………………………….

No of Participants: ………………….    Total Cost:  £…………………………………………..

Please print this form and complete it. Please email the form to us or mail it to us. Please mail your cheque covering the full amount of the course, made payable to Noreen Todd, or quote your gift certificate number; OR pay by bank transfer  made to: Mrs N. Todd at HSBC plc, Howardsgate, Welwyn Garden City, Herts., AL8 6BH. 

Bank sort code: 40-46-08. Account no: 21475215. Swift Code: MIDLGB2111D.  IBAN number: GB43MIDL40460821475215

Terms and Conditions: Please read our terms and conditions and our refund policy on the next page as these form part of our contract.

Data Protection and GDPR

We collect your personal data for the purposes of registering you onto one of our courses, as this is a legal contract. We use this data to provide you with information about our courses. We would like to retain this information in order to keep you informed of future courses, events and of our glass work and studio. We ask you to give us your specific consent to allow us to retain your information for this purpose, and we ask you to complete one or more of the boxes below as evidence of your consent.

  • Yes you may retain my data for the purpose described
  • No I do not wish you to retain my information after the course is finished

You may contact me by (please tick all appropriate boxes)

  • email
  • telephone
  • mail

Signatue ……………………………………………………………………………………………………              Date …………………………………………….

You may change your options at any time by contacting Noreen Todd at noreentodd@btinternet.com