pdftest | The Lorien Trust

Please use this form to request your 50% discount to the first event you pre-book.

The details given below will be checked and you will be informed once the coupon has been allocated to your user account.

If for any reason you book in advance of receipt of the code, no refund will be given but a credit will be applied to your account.

First Name *

Middle name

Last Name *

Date of Birth *

Day

Month

Year

Gender

Street Address *

Second line of your address

County *

Post Code *

Country *

Email Address *

Mobile Number

HTML

Emergency contact details

We only use this information to contact an appropriate person should you require any additional external assistance while attending our events.

Emergency Contact Name *

Emergency Contact number *

NoticePlease ensure you have created your user account so we may allocate the coupon for automated use at the point of checkout.