Application Form for ICE North East Dinner

advertisement
ICE North East Annual Dinner
Marriott Hotel, Gosforth Park, Newcastle upon Tyne, Thursday 26th April 2012
Application form
Contact name:
Organisation:
Postal address (for tickets):
Postcode:
Email address (for confirmation):
Telephone number:
Please advise of any special dietary or access requirements:
Tickets
Tables of variable sizes are available to accommodate your groups needs. Tickets are priced at £58+VAT
each. Please indicate below the size of your party:
No of tickets at £69.60 (incl VAT):
Is a VAT receipt required?
No
Yes
Individual members are encouraged to make arrangements directly with the regional office.
I enclose a cheque made payable to ‘Institution of Civil Engineers’ for £
Please debit my credit/debit card in payment for this event – please call ICE NE office on 0191 261 1850
to supply card details
Please invoice me. Purchase order number:
Address for invoice if different to above:
Signed:
Date:
Please return the completed slip with cheque to arrive no later than
Thursday 12th April 2012
Annual Dinner, Institution of Civil Engineers North East, Room 2.08 Drummond Building, School of Civil
Engineering and Geosciences, Newcastle University, Claremont Road, Newcastle upon Tyne, NE1 7RU
e: Irene.hurley@ice.org.uk
Registered charity number 210252
Charity registered in Scotland number SC038629
t: 0191 261 1850
Download