Please complete the following form to apply for introductory, intermediate and advanced wine courses and one day wine workshops.

PERSONAL DETAILS Title: Gender: M:  F: First Name(s): Surname:   Address 1: Tel (day): Address 2: Tel (eve): Address 3: Mobile: Address 4:     Address 5:     Postcode: E-mail:   I am over 18 years of age (tick box) COURSE/WORKSHOP DETAILS Which course/workshop are you interested in? : Please select below : Introductory - City (Leadenhall Market) - From Mon 13/02/12 Introductory - City (Liverpool Street) - From Tue 07/02/12 Introductory - Hampstead - From Tue 28/02/12 Introductory - Holborn - Mondays From 06/02/12 Introductory - Holborn - From Tue 13/03/12 Introductory - Holborn - From Wed 22/02/12 Introductory - Kensington - From Mon 05/03/12 Introductory - Kensington - From Wed 23/05/12 Introductory - Aberdeen - From Wed 25/01/12 Introductory - Aberdeen - From Wed 18/04/12 Introductory - Birmingham - New Year 2012 TBA Introductory - Brighton - New Year 2012 TBA Introductory - Manchester - From Mon 06/02/12 Introductory (Essential Wine Tasting) Holborn From 29/02/12 Introductory (Essential Wine Tasting) Kensington From 17/04/12 Introductory (Essential Wine Tasting) Bangor From 15/02/12 Introductory (Essential Wine Tasting) Belfast From 07/02/12 Intermediate (Classic Varieties) - Holborn - From Wed 21/03/12 Intermediate (Classic Varieties) - Kensington - From Tue 21/02/12 Intermediate (Classic Varieties) - Aberdeen - New Year 2012 TBA Intermediate (Classic Varieties) - Manchester - Tuesdays - New Year 2012 TBA Intermediate (France North) - Holborn - From Tue 01/05/12 Intermediate (France North) - Birmingham - New Year 2012 TBA Intermediate (France North) - Manchester - From Tue 06/03/12 Intermediate (France South) - Holborn - From Mon 05/03/12 Intermediate (France South) - Birmingham - New Year 2012 TBA Intermediate (France South) - Manchester - From Tue 31/01/11 Intermediate (Italy) - Holborn - From Wed 07/03/12 Intermediate (Italy) - Kensington - From Tue 12/06/12 Intermediate (Italy) - Manchester - New Year 2012 TBA Intermediate (Spain) - Holborn - From Tue 14/02/12 Intermediate (Australia & NZ) - Holborn - From Tue 01/05/12 Intermediate (S Africa & Americas) - Holborn - From Autumn 2012 TBA Intermediate (C & N Europe) - Holborn -Summer 2012 TBA Special Interest (Burgundy) - Holborn - From Wed 07/03/12 Special Interest (Bordeaux) - Holborn - From Tue 06/03/12 Special Interest (Whisky) - Holborn - From Wed 08/02/12 Workshop (La Dolce Vita) - Aberdeen - Sat 10/03/12 Workshop (Le Tour de France) - Brighton - New Year 2012 TBA Workshop (Le Tour de France) - London - Sat 18/02/12 Workshop (La Dolce Vita) - London - Sat 03/03/12 Workshop (The World of Wine) - London - Sat 17/03/12 Workshop (Le Tour de France) - London - Sat 31/03/12 Workshop (Bring On The Bubbly - London - Sat 14/04/12 Workshop (The World of Wine) - London - Sat 28/04/12 Workshop (Ibericos) - London - Sat 26/05/12 Workshop (The World of Wine) - London - Sat 09/06/12 Workshop (Le Tour de France) - London - Sat 23/06/12 Workshop (The World of Wine) - London - Sat 07/07/12 Workshop (Bring On The Bubbly - London - Sat 21/07/12 Workshop (The World of Wine) - Belfast- Sat 31/03/12 Where did you hear about the Wine Education Service? : Please select below: Leaflet Time Out Private Eye BBC Good Food Ham & Hi Sainsbury's Magazine Waitrose Magazine Word of Mouth Internet (Search Engine) Other (please give details below)   Please feel free to add any comments: I would like to receive the Wine Education Service Newsletter (tick box)