REGISTRATION FORM

To register for the 2008 Dordrecht English Weekend, please email, fax or send the completed form to Andrew van der Beek, Cantax House, Lacock, Chippenham, Wiltshire SN15 2JZ, England. avdb@cantax.freeserve.co.uk

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telephone

 

email

 

address

 

 

voice (S, A, T, B &c.)

 

I register for the 2008 Dordrecht English Weekend and enclose the full fee of £79 payable to Andrew van der Beek or am transferring €100 to Fortis Bank account No 83.52.00.205 (A van der Beek).

 

 

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