Co-counselling at Laurieston Hall
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CCI Co-Counselling
About Laurieston Hall
Please complete this form whenever you make an additional payment towards your booking. You can pay for more than one person, for example, if you are paying as a family or as a couple. All payments should be received by 30th June.
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Name of person making the payment
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Please make sure that you use your name as a reference when you make the payment.
Email
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This payment is made on behalf of...
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Please list all the people (including children) whose booking is covered by this bank transfer. This enables us to match all the payments to the original booking forms.
Amount already paid
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Amount of this payment
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Amount still due
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