Think Tank Booking form

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Think Tank event: booking form
Date: Thursday 24th June 2010
Time: 11am – 3.30pm
Location: Norwich University College of the Arts, Lecture Theatre, Duke Street Building,
Norwich, NR3 3AJ.
Please click for a map: http://www.nuca.ac.uk/about-us/maps-and-directions
Dr / Mr / Mrs / Miss / Ms / Other ____________________________ (Please circle)
Name:
Job title and role:
Institution / Organisation:
Email:
Contact details:
Please return your booking form to ; Yvonne Moore
Email: y.moore@nuca.ac.uk
Phone : 01603 610561 ext 6324
Fax : 01603 615728
Post to: Yvonne Moore, SMT Support Administrator, Norwich University College of the Arts,
Francis House, 3-4 Redwell Street, Norwich, NR2 4SN
Do you have additional requirements e.g.: Sign language interpreter, information in
different formats - tape, disk, Braille, loop system? Please specify:
Do you have any dietary requirements? Please specify:
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