Booking Form   EMIAC 78                                                   fromNIAG website

 

Attendance at the heritage day is by advance booking. The cost is £22.00 and includes Lunch. Please book by 20th September 2009   

To: EMIAC 78, 141,Allestree Lane, Allestree, DERBY, DE22 2PG

I/We wish to attend EMIAC 78, Saturday 3 October 2009 at Crich.

 

Name (s)   ...........................................            Address   .......................................................

 

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Society (if appropriate )  .........................................................................................................

 

I enclose a cheque payable to RCHS-East Midlands Group for £.....................

 

Being £22 per head.  Please enclose a stamped self addressed envelope for map, directions and receipt.

 

Please indicate here if you have any special dietary requirements.

 

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I wish to present a report on behalf of :-

 

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I wish the following item to be included within the agenda for the reports meeting.

 

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I wish to have display space for:-

 

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Anyone wishing to display material for sale other than on behalf of an EMIAC affiliated society or

participating organisation will be expected to make a contribution to conference expenses.

 

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