Charity Registration 1140053

BOOKING FORM

 

ARNOLD BENNETT SOCIETY – CONFERENCE

SATURDAY 9th  June 2012

 

North Staffordshire Conference Centre -

 

Hartshill Road, Stoke on Trent ST4 7NY

 

Full Name/s ………………………………………………………………………….

 

Address …………………………………………………………………..

 

…………………………………………………………………………….

 

…………………………………..Post Code ……………………………….

 

Tel. No ……………………………………………………………………..

 

Email  ………………………………………………………………………..

 

I/We enclose my/our cheque for £…………………(£25 per person)

(made payable to Arnold Bennett Society)

 

Delegates will now stay at the Conference Centre and

dinner will be served at 6.30 pm.  Please indicate below if you are staying for dinner.

Yes/No (Please delete as applicable) and enclose a cheque for £21 payable to

Arnold Bennett Society. .

 

Special Dietary requirements …………………………………………………….

 

Signature …………………………………………….Date ………………………..

 

"……………………………………………………………………………………

 

Advanced Booking is essential. All bookings will be acknowledged by email or telephone.

 

Please complete and return the Booking Form (and cheque) by post to: 

Carol Gorton, 4 Field End Close, Trentham.

Stoke on Trent, ST4 8DA 01782 641337