APPLICATION FORM

John Haynes, The Cottage, 70 Padnell Road, Cowplain, Hants, PO8 8EB

 

                            

 

 

POETRY STUDIO

 

 

NEW COURSES

Poetry in Prose

Form and Repetition

 

 

PREVIOUS COURSES

Versification

Starting to Write Poetry

Creative Reading

Consultations

Imagery

 

 

 

 

 

 

                                                                                                                         

                                                                   

   

NAME...............................................................................................

 

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PHONE...........................................................................................

 

EMAIL............................................................................................

 

COURSE(S) APPLIED FOR

 

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WHAT YOU HOPE TO GET OUT OF IT/THEM

 

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If you wish  (not a requirement though) to add any personal details or examples of your work by all means do so on a separate sheet

 

 

I enclose cheque for 60

 

 

SIGNATURE............................................

 

DATE........................................................

                                                                 

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