This document is a booking form for an FIA networking evening event on April 19, 2012 in Essen, Germany. It provides details on the event including pre-dinner drinks from 19:30-20:00 and a 3 course meal from 20:00-22:00 costing £75. The form requests the attendee's name, company, number of people, payment details including credit card number and signature to pay the £75 fee. It also lists contact details to fax, post or email the completed form.

1. 2012 BOOKING FORM
NAME:
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, Essen
20.00 - Dinner and Drinks at CASINO Zollverein, Essen
The 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 meal
and to continue up until 22:00.
Total package cost £75
(includes selected drinks from 19:30 – 22:00 admission and a set 3
course meal)
After dinner guests are welcome to stay on in the bar area of the restaurant for
further networking opportunities outside of the FIAs specially selected package.
Total payable to FIA: £
Card type, please tick: □ Visa □ Electron □ MasterCard □ Maestro
Card 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