BOOKING FORM
ARNOLD BENNETT SOCIETY CONFERENCE
SATURDAY 8 JUNE 2013
Full Name ..
Address .
.
.Post Code ...
Tel No
Email ..
I/We enclose my/our cheque for £ .(£25 per person)
(Payable to Arnold Bennett Society)
I/We would like to attend the Conference Dinner at The Medical
Institute, Hartshill. Yes/No (please delete applicable) and enclose
Cheque for £22 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 your cheque) by post to Carol Gorton, 4 Field End Close,
Trentham. Stoke on Trent ST4 8DA
CHARITY REGISTRATION NUNBER NO 1140053