Birth Art Cafe Booking Form

1. Question 1.

Name

2. Question 2.

Address

3. Question 3.

Phone Number

4. Question 4.

Mobile Number

5. Question 5.

email Address

6. Question 6.

When is your baby due or when was your baby born?

7. Question 7.

Date of Birth Art Cafe session you are booking on to

8. Question 8.

Please send payment of £10 by bank transfer to

sort code 40 47 42 Account number 51476890

A receipt will be emailed to you once this payment is received.

Thank You