Application form Family based treatment of childhood obesity: psychological approaches to treating obesity in children University College London Monday 21st and Tuesday 22nd April 2008
	Please reserve a place for me on the above course:
		I enclose a cheque for £350.00 made payable to 'Weight Concern' or
		Send an invoice for the full cost
	Invoice address ............................................................................................. ..................................................................................................................... Delegate Name.............................................................................................. Job Title ........................................................................................................ Contact address ............................................................................................ ..................................................................................................................... Contact telephone number ............................................................................. Email ............................................................................................................. I agree this is a firm booking and that cancellation charges apply * Signature ...................................... Please return this form to: Training Enquiries Weight Concern Brook House 2-16 Torrington Place London WC1E 7HNOr by fax 020 7813 2848 Note: please complete a separate form for each person applying *Cancellations more than 4 weeks prior to the course incur a 10% cancellation charge. Cancellations 2-4 weeks before the course incur a 50% charge. Cancellations less than 2 weeks before the course incur the full charge, but if the place is taken by another participant the charge is reduced to 50%.