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