Booking Form for Tapas Ethnic Meal

Booking Form for the Tapas Ethnic Evening Meal - Wednesday 23rd January 2013

Member: _______________________________ Email: _______________________________

Telephone: ______________________________IBM Employee No _____________________

1st Guest: ___________________________ 2nd Guest*: ________________________________

* Second guests to be waitlisted initially

Do you or any of your guests have any special dietary requirements? Yes* / No

*If 'Yes', please state: _______________________________________________________

The cost of the dinner is £18.50 (Member and 1st Guest) and £23.50 (2nd Guest)

I enclose a cheque for £............................. (Full amount requested), made payable to IBM Retirees Club Midlands and sent to:

Alan Bridgman, 101 Albany Road, Stratford upon Avon, Warwickshire CV37 6PQ

Your booking will be acknowledged by email or by SAE, if enclosed with this booking form.

Please note that there is a limit of 25 people on this trip so, first come, first served!

Alan Bridgman Telephone: 01789-267134 Email: abri@waitrose.com