Company Name:

Address:

Tel:

Fax:

Email:

Name of Organiser:

Contact on the day:

Meeting Title:

Date(s):

No. of Delegates:

Start/Finish Time:

Access to Room Req'd From/To:

Equipment Req'd:

Flipchart

r

Room Layout:

Data Prj.

r

Refreshment Times:

On arrival -

Mid-morning -

Mid-afternoon -

With biscuits -Y/N

With biscuits -Y/N

With biscuits -Y/N

Lunch:

Buffet 1

r

Buffet 2

r

Buffet 3

r

Time -

No. Veg'ns -

Other dietary Req'ts -

Method of Payment:

r Invoice (14 day payment terms)

r Cash/Cheque on the day

I have read and fully understand the terms and conditions accompanying this form.

Sign Name:

Print Name:

Please fax completed sheet to: 0845 241 5621

Please call 01484 500435 with any questions

For Office Use Only:

Confirmed in Calendar

r

Daily Sheet Sent

r

Confirmation Sent

r

Invoiced Raised

r

No:

Catering Ordered

r