BOOKING FORM

Please use this form to book your place on events and talks.

Name

First Name

Last Name

Phone

(###)

###

####

Event Name

Event Date

Number of Members Places

Note members include Full Members and Additional Members

Number of Non-Member Places

Note that there is a charge for non-members. If the event is oversubscribed members will have priority.

Payment Confirmation (for non-members only)

Please confirm that you have paid for non-member attendance or indicate that you will pay on the day.

Paid by BACS

Will pay on day

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