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One Day Couples Workshop
When : Wednesday _________ ( e-mail for details of date ) 9.30am to 3.30pm
Where : 591 Heathway, Dagenham, Essex, RM9 5AZ(see Maps page)
APPLICATION FORM:-
Name/s ...................................................... ..........................................................
Correspondence Address ......................................................................................
......................................................................................................................................
Contact Telephone Number .............................................................
E-mail ..........................................................................
Fees £100 per couple, £60 individual (please include payment when you return this form to the above address cheques made payable to “Phoenix Counselling Service”, or book online).
Cheques payable to “Phoenix Counselling Service”
Or pay online by Paypal - see buttons on relationship workshop page
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