Booking Form

The 2012 Conference of Independent Archaeologists

Booking Form

The Conference will be held on Saturday 15th September 2012

Venue: Dudley Winterbottom Memorial Hall,
Chapel Lane, Hackleton, Northampton, NN7 2AH

Conference fee ( includes Lunch and all coffee / tea /biscuits ):  £ 17.50

I/We wish to attend the Conference and enclose the sum of £ ______

(Cheques to be made payable to CIA).

 

Names ………………………………………………………………………………….

(please print as badges will be available)

 

Address…………………………………………………………………………………………………..

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

……………………………………Post Code ……………………………

Telephone…………………… Email (if any) …………………………………………………….

 

Please note any special requirements e.g. diet or disabled facilities etc

………………………………………………………………………………….

 

Please complete form and return it with your cheque to :

Keith Foster
Hon Treasurer
2 The Watermeadows
Swarkestone, Derby, DE73 7FX

telephone: 01332 704148

e-mail: skfoster@btinternet.com

You will have a confirmation email (or letter) sent on receipt of booking form.

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