Booking Form

Please complete form, print and return to the administrator with appropriate fee

Name:
Position held:
Hospital:

Contact address

Street 1:
Street 2:
Town:
County:
Postcode / Zip code:
Country:
Tel:
Fax:
Mobile:
Email:

Select as appropriate
1.	I wish to be RESIDENT and enclose a DEPOSIT of £75
2.	I wish to be RESIDENT and enclose FULL PAYMENT of £585
3.	I wish to be NON RESIDENT and enclose a DEPOSIT of £75
4.	I wish to be NON RESIDENT and enclose FULL PAYMENT of £480
5.	I REQUIRE car parking at a cost of £5

Cheques should be made payable to: Cambridge Chest Meeting

Arrangements can be made to pay by BACS - please contact the administrator for details.

Meeting Administration:

Administrator: Mrs Chris Dye, 3 Foxenfields, Abbots Ripton, Huntingdon PE28 2PW

Tel: 01487 773533

Mobile: 07867 792728

email: admin@cambridgechestmeeting.co.uk