Booking Form for New Year 2012/2013

                                      1st name                                Surname                  Personnel number                         
Member                                                  
First Guest xxxxxxxxxxxxxxxxxxxxxxxx
Second Guest xxxxxxxxxxxxxxxxxxxxxxxx
Second Guest                           xxxxxxxxxxxxxxxxxxxxxxxx                   
Contact Details Email: Telephone:

Insurance details

Please confirm that all people named above have appropriate Travel Insurance?  Yes/No ___ 

Send your completed booking form and a deposit cheque for £15.00 per person, made payable to ‘IBM Retirees Club Midlands’ to:-

Simon Barratt, Laurel House, The Green, Tredington, Shipston-on-Stour, Warwickshire, CV36 4NJ

by 29th February 2012, please.

Simon Barratt Telephone:- 01608 661996 Email:-  sjblaptop@yahoo.co.uk                                     

Your booking will be acknowledged by email or post, if you include a SAE.

Refer to the document "Event Booking Conditions" for Terms and Conditions

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