EAST MIDLANDS AGM
EVENT BOOKING FORM
EVENT: LACA AGM
At:
Rufford Mill, Rufford Abbey, Ollerton, Nottinghamshire. NG22 9DG
NB Rufford Mill is at the north end of the park signposted off the A614.
Tuesday 18th March 2014 at 12.30 pm
On:
Please return this form to: Kevin Hill
Primary Catering Manager,
Derbyshire County Council,
Block B, Chatsworth Hall Site,
Chesterfield Road,
Matlock,
DE4 3FW
TEL: 01629 536597
By: Wednesday 26th February 2014
PLEASE TICK THE FOLLOWING, WHERE APPLICABLE
Delegates will be attending the event
Cost per delegate £15.00
I enclose a cheque payable to LACA East Midlands Region to the value £___________
Please invoice me for £_________ the purchase order number is _______________
Name:
Email: __________________________________
Organisation:
Business Address:
Postcode: _______________________
Telephone: ______________
----------------------------------------------------------------------------------------------------------------------------------For Office Use:
_____________
____________
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