Day Trip to Black Country Museum, Thursday 11 October 2012

Member: ________________________________ Personnel No: _________________

First Guest: _______________________________

Second Guest(s): ___________________________

______________________________________________________________

Phone: ___________________________

Email:_____________________________________

Car Registration no(s) __________________________________________________________

Please reserve for me ______ places for member and 1^st guest and 2^nd guest

The final cost will be approximately £30.00 for Member/1^st Guest, depending on the number of people booking on the trip; £38 approx. for 2^nd Guests.

I enclose a deposit for £10 per person to secure the above booking. Cheques to be made payable to IBM Retirees Club (Midlands).

Please send booking form and cheque to:-

Peter Barnes, 5 Queens Close, Harbury, Leamington Spa, CV33 9JJ

Telephone:- 01926 612010, mob: 07989 47700, email: l-barnes3@sky.com

and this will be acknowledged by email unless an SAE is enclosed.

Refer to the document Event Booking Conditions for terms and conditions.

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