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(Print out this form and send it to the Centre at the address below with your cheque along with two proofs of address -- these can be copies of your driving licence, a bank statement or
a household bill showing your name and address -- or send us your completed form and proofs of address and we’ll then invoice you)     

Southmere Boating Centre

Course / Trip Application Form

  first name:


  address inc. postcode:


  home tel. no:

  mobile no:

  email address:

  course / trip title:

  start date:

  any medical condition that might affect you during the course / trip:

  amount enclosed (cheques payable to Greenwich Leisure Ltd.):

  signed                                                                                                              dated

  Please return to:
  The Centre Administrator
  Southmere Boating Centre
  Binsey Walk
  London SE2 9TU