Booking-Forms-Oct14-Network-Event

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Please complete in CAPITAL LETTERS
Networking Event
Setting Name:............................................................
Setting : BREAKFAST Club
BOTH
AFTER SCHOOL Club
HOLIDAY Club
Setting address:.........................................................................................
.......................................................................................................................
.....................................................................Post code.............................
Tel no:.................................................
Are you a BPCN member?
Yes
No
Participant details:Please enter your name(s) below and tick the box relating to the NETWORK EVENT date/venue you will be
attending.
Participant Name
South
East
Central
North
St Marys Church
Hall, Bristol Road,
Selly Oak, B29
6ND
Christ Church,
Farm Road,
Sparkbrook, B11
1LS
Mansfield Green
Nursery, Albert
Road, Aston, B6
5NH
Osborne Children
Centre, Station
Road, Erdington,
B23 6UB
16th Oct ‘14
20th Oct ‘14
21st Oct ‘14
22nd Oct ‘14
Thursday
Monday
Tuesday
Wednesday
1
2
(Tea & Coffee will be provided)
Are there any areas of support you require? ...................................................................................
*Please contact BPCN offices if you are unable to attend no later than 48 hours prior to the event date, or alternatively send another
member of staff in your place. Failure to attend or provide adequate notice of cancellation could jeopardise your bookings onto future
networking events.
Completed forms should be faxed back to: 0121 212 9704
Or posted back to:
BPCN Network Event, 503b Big Peg, 120 Vyse Street,
Jewellery Quarter, Birmingham, B18 6NF
Tel: 0121 236 2917
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