______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No
______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No
______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No
______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No
Name, and Address of sender:
__________________________________________
__________________________________________
__________________________________________
Tel No. of Sender__________________________
Are you willing to accept an email confirmation of
your booking? Yes / No
Email address (please PRINT): __________________________________
Special Dietary Reqmts?:
Where / How did you hear about the event?
When booking,
please return this completed booking slip together
with a cheque for your deposit.
Cheques payable to 'H M Turner' please,
to
‘HOTEL PICCADILLY DANCE WEEKEND',
c/o 35 PIRRIE CLOSE, SHIRLEY, SOUTHAMPTON. SO15 7QA.
DATA PROTECTION.
Our Customer list is held in a computerised form. It is used only for Folk
Dance event purposes.
click here to return to Jan 2014 dance Weekend information.
Top of Page
Home Page