REGISTRATION FORM
To register for the Dordrecht English Weekend 2010, all you need do is to email the information requested on this form to avdb@lacock.org. Alternatively, you can print out the form and send it with your deposit to Andrew van der Beek, Cantax House, Lacock, Chippenham, Wiltshire SN15 2JZ, England

name

 

telephone

 

email

 

address

 

 

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

 

I register for Dordrecht English Weekend 2010, and am paying the fee in one of these ways:

    in the Netherlands, a transfer of €100 to account 83.52.00.205 (A van der Beek, Lacock)

    elsewhere in the Euro area, transfer of €100 to IBAN NL23 FTSB 0835 2002 05, BIC FTSBNL2R

    a sterling cheque for £87 payable to A van der Beek

    online transfer of £87 to account 00703787, sort code12-11-03, or for international transfers, IBAN GB02 BOFS 1211 0300 7037 87, BIC BOFSGB21238

     

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