Historical
Diving Society Conference and Dinner
Booking
Form - 2006 (MCDOA Referral)
NAME AND ADDRESS [Block capitals, please]
Name: Address:
..
Post Code: Country: Telephone: ...
Please supply:-
.. CONFERENCE TICKETS @ £20 £ ..
.. ANNUAL DINNER TICKETS @ £55 £ ...
TOTAL £ ...
PAYMENT DETAILS
Payment may be made by sterling cheque, payable to The HDS and drawn on a UK bank, or by credit card. Please note, regrettably we cannot accept payment by debit card.
Please charge my Visa/Mastercard:
CARD NUMBER:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
VALID FROM: |
|
|
|
/ |
|
|
EXPIRY DATE: |
|
|
/ |
|
|
|
SECURITY CODE: |
|
|
|
(Last three numbers on signing strip) |
CARDHOLDERS SIGNATURE . DATE
Send to: The Historical Diving Society, 25 Gatton Road, REIGATE, Surrey, RH2 0HB, United Kingdom
HDS
CONFERENCE 21 OCT 2006
(MCDOA
Referral)
Tickets for the Conference cost £20, including morning
and afternoon refreshments.
Name(s) of delegate(s) block capitals please:
..
..
.
.
Tickets for the Annual Dinner cost £55.
Name(s) block capitals, please:
Please add (V) after the names of guests requiring a vegetarian option and include any seating preferences.