BOOKING FORM - CHRISTMAS LUNCH -  17th December 2012

                        First Name                    Surname                   IBM Personel # 
Member                              
First Guest          xxxxxxxxxx        
Second Guest                                    xxxxxxxxxx     
Second Guest                                               xxxxxxxxxx       
Member's Contact Details       Telephone:- Email:-                  

Meal Choices

           Name                                       Starter                  Main Course                 Dessert             
'              S __              M __            D __
'              S __              M __            D __
'              S __              M __            D __
'              S __              M __            D __

To book a place, fill in the booking form and mail it with your cheque £20.00pp for member and first guest, £35.00pp second guest - made payable to IBM Retirees Club [Midlands] - to arrive not later than Friday 30th November, to:-

Michael Fabianski, 9 Cambridge Gardens, Upper Holly Walk, LEAMINGTON SPA, CV32 4JN.

Email : michael.fabianski@gmail.com    Telephone: 01926 745391

Cheque enclosed - value £ ____

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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