Please print off this form fill in and send with your cheque to the Office at Middleham Key Centre

Literary Lunches - booking form

Middleham Key Centre, Park Lane, Middleham DL8 4RA           Tel 01969 624411

 I wish to book  ........... place(s) for the Literary Lunch on .................................................2004
 
at �10.50 per person and I enclose a cheque for � .............. together with a sae

                                     Please make cheques payable to ~ Middleham Key Centre.

 Name ......................................................................

 Address ..................................................................................

 ................................................................................................

 ............................................................... Postcode ....................

 Tel no ........................

 Email .........................................................................................

 Please indicate whether you have any special dietary requirements

 Eg. Vegetarian Y/N      Other.............................................

 Unless you indicate otherwise your details will be kept on our database in order that we can send you information about similar events.

 Do you agree to your details being held on our database ?         Yes/No

 Would you like us to send you information about other arts-related organisations which we think might be of interest ?

                                                                                                Yes/No

                                    Print this form when completed and send to the Key Centre Office with your cheque
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