Midsummer Breakfast Club

Event: *

Full Name: *

Company: *

Address: *

Telephone: *

Fax:

Email: *

Guest 1 Name: *

Guest 2 Name:

Guest 3 Name:

Guest 4 Name:

Guest 5 Name:

Guest 6 Name:

I would like to confirm place(s) at £13 per head.

I have sent a cheque in the post for £ made payable to Midsummer Breakfast Club.

Please note that no booking can be guaranteed without payment.

If you do not want your details on this form circulated to others please tick here

Please send cheques to:

Midsummer Breakfast Club
5th Floor
Exchange House
446 Midsummer Boulevard
Central Milton Keynes
MK9 2EA

Tel: 01908 357828
Fax: 01908 687801
Email: susan.de.fraine@bakertilly.co.uk

Please bring plenty of business cards with you and your name badge.