| Name Address and Phone No. | ||||||||
| I will be coming to the AGM / I would like to
come finances permitting / I cannot attend. | ||||||||
| I will be arriving at Time: | At | by Car / Train / Bus | ||||||
| NUMBER IN PARTY | ||||||||
| ACCOMMODATION WANTED | Please circle - FRIDAY 3rd / SATURDAY 4th / SUNDAY 5th | |||||||
| Please state how many. | Room for 1 | Twin for 2 | Double for 2 | Room for 3 | | |||
| Wheelchair accessable room? | YES / NO | |||||||
| Any Special Facilities required? | ||||||||
| Please state if special diet. | ||||||||
| Deposit of £25 per person enclosed | YES/NO | Full Payment t.b.a. by the 4th August 1999. | ||||||
| PLEASE DO NOT HESITATE TO RING TO DISCUSS THIS -
we will do all we can to help. | ||||||||
© Copyright The
Lincolnshire Post-Polio Network 1999.
Document preparation:
Chris Salter,
Original Think-tank, Cornwall,
United Kingdom.
Document Reference: <URL:http://www.zynet.co.uk/ott/polio/lincolnshire/linkpin/forms/form5.html>
Created:
21st August 1999. Last modification: 21st August 1999