PROFORMA
I confirm, on behalf of my organization (please write in organization name):      
that we wish to participate in...
Additional site details (only complete if applicable):
As noted on the first page of this form we also wish the following ...
Upcoming SlideShare
Loading in …5
×

Pro forma aim 2013 ad v2b - protected

251 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
251
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Pro forma aim 2013 ad v2b - protected

  1. 1. PROFORMA I confirm, on behalf of my organization (please write in organization name):       that we wish to participate in the first 2 years of AIM Visitor Verdict for the period October 2013 to September 2015: We would wish the following site(s) to be included: Site 1 Site 2 Site 3* Site name:                   Address:                   Postcode:                   Site contact name:                   Site contact email:                   Site contact tel:                   *If you wish to include more than 3 sites please write the names of the sites here and enter full site details in the tables provided on the next page of this form. Additional site names:       Signature: …………………………………………………………………………… Name:       Title:       Date:       Telephone Number:       Email:       Are you a member of AIM (yes/no):       Please email your completed proforma to Sam Hunt (email: henleymanor@btinternet.com ) or return by post to: Sam Hunt Executive Director, Association of Independent Museums Henley Manor Crewkerne Somerset TA18 8PQ AIM Association of Independent Museums 3 Chestnut grove, Ludlow, Shropshire SY8 1TJ Tel: 01584 878151 Email: aimadmin@aim-museums.co.uk Web: www.aim-museums.co.uk Registered in England No. 1350939 | Charity No: 1082215 No Yes
  2. 2. Additional site details (only complete if applicable): As noted on the first page of this form we also wish the following site(s) to be included: (please complete full details for each site below) Site 4 Site 5 Site 6 Site name:                   Address:                   Postcode:                   Site contact name:                   Site contact email:                   Site contact tel:                   Site 7 Site 8 Site 9 Site name:                   Address:                   Postcode:                   Site contact name:                   Site contact email:                   Site contact tel:                   AIM Association of Independent Museums 3 Chestnut grove, Ludlow, Shropshire SY8 1TJ Tel: 01584 878151 Email: aimadmin@aim-museums.co.uk Web: www.aim-museums.co.uk Registered in England No. 1350939 | Charity No: 1082215

×