The Southborough Centre, No 1 Draper Street, Southborough, Kent, TN4 0PG Website: www.solepurpose.co.uk   Email: info@solepurpose.co.uk   Tel: 0800 0935 542 APPLICATION FORM   Name: .......................................................................................   Date of Birth: ..................................   Address: ....................................................................................................................................................   ...............................................................................................................  Post Code: ................................   Telephone Home: ......................................    Telephone Business: ...................................................   E-mail: .............................................................................................   ....................................................................................................................................................................   Details of any course you are interested in:   ....................................................................................................................................................................   ....................................................................................................................................................................   Knowledge of other therapies ie. Aromatherapy, Reiki etc.   ....................................................................................................................................................................   ....................................................................................................................................................................   Where did you hear about us?  ........................................................................................................