No: __________ (Office use only)
90th Anniversary Reunion Dinner booking form Surname:
______________________________________________________
Forename:
______________________________________________________
Maiden Name:
______________________________________________________
Address:
______________________________________________________ ______________________________________________________ ______________________________________________________
Tel No:
______________________________________________________
e-mail address:
______________________________________________________
School:
Quarry Bank High / Calder High / Comprehensive (please specify)
Dates of Attendance: ______________________________________________________
Dinner Choice (£25.00 per ticket)
Please specify any dietary requirements below:
Friday 30 March 2012 (Comprehensive) Saturday 31 March 2012 (Calder/Quarry) Please specify which dinner you would like to attend in the boxes above.
Accommodation - £25.00 per night (please pay for your accommodation along with the dinner payment) No. of nights required: _____________________ I enclose payment of £
Signed:
Dates: ________________________
(please make cheques payable to Harthill Schools’ Association)
________________________________
Date: ____________