This form is designed to be printed out, completed in pen/typewriter, and sent by post.

Please complete the current 'contact details' page plus one 'venue' page for each venue at which courses are offered (venues within a few miles of each other may be treated as one venue). Lines marked by an asterisk '*' must be completed; others should be completed where relevant.

Post completed pages to: Finedyne Artcourses, 3 Kenilworth Road, Nottingham NG7 1DD

For help with this form, telephone 0115 941 8688 or e-mail  

*	Name
	Telephone
	Is the number above... (circle one)	[T] tel         [X] tel/fax         [Z] not to be shown
*	Address and Postcode
*	Is the address above... (circle one)	[A] to be shown         [Z] not to be shown
	e-mail address (if any)
	Is e-mail address ... (circle one)	[E] to be shown         [Z] not to be shown
	website URL (if any)     http:// ................................................................................
*	How many 'venue' pages attached?	[1]     [2]     [3]     [4]     [5]

To the best of my knowledge, the details given above and on the attached 'venue' form(s) are accurate. I will inform Finedyne Artcourses promptly of any significant changes to the details given. I give my agreement for these details (except those marked 'not to be shown') to be published on the website www.artcourses.co.uk for a period of 4 months (minimum) from the date of this agreement. I can withdraw this agreement at any time by giving 14 days' notice to Finedyne Artcourses. Signature .......................................................         Date ...........................

How did you first hear about www.artcourses.co.uk? ...................................................................

Help us to contact you (These details are optional and will NOT appear on your web entry): Your direct line: .........................................   Your e-mail address: .............................................

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