2012 BOOKING FORMNAME:                                                                                          FIA NO.:CL...
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Dinner booking form 2012

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Dinner booking form 2012

  1. 1. 2012 BOOKING FORMNAME: FIA NO.:CLUB/COMPANY: How many people? Event details: (Please provide names, special dietary requirements and number of vegetarians)FIA FIBO NETWORKING EVENING – 19TH APRIL 2012(12 minute taxi journey between Intercity hotel Essen and CASINO Zollverein,Essen 53, 45128 Essen)19.30 – Pre dinner drinks at the CASINO Zollverein, Essen20.00 - Dinner and Drinks at CASINO Zollverein, EssenThe cost includes the Networking reception from 19:30 – 20:00 followed by a,3 course meal which includes beer, wine, soft and hot drinks with your mealand to continue up until 22:00.Total package cost £75(includes selected drinks from 19:30 – 22:00 admission and a set 3course meal)After dinner guests are welcome to stay on in the bar area of the restaurant forfurther networking opportunities outside of the FIAs specially selected package.Total payable to FIA: £Card type, please tick: □ Visa □ Electron □ MasterCard □ MaestroCard Number: Credit/Debit Card Please enter your details below. Cheque Please make cheques payable to “Fitness Industry Association Ltd” and post asap to the address below along with this booking form.Start date: Expiry date: Issue No: Security code (3 digits on back of card):Name on card (PLEASE PRINT): ___________________Card holders Signature: ______________________________ Fax/post/email your completed form using the details below. FIA, Castlewood House, 77-91 New Oxford Street, London, WC1A 1PX Tel: 020 7420 8582 Fax: 020 7836 3088 Email: georgia@fia.org.uk website: www.fia.org.uk

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