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Bromley & Chislehurst Conservative Association Annual Dinner Thursday 7th July 2011, Oakley House, Bromley Common, Bromley, Kent Guest of honour Dr Liam Fox MP, Secretary of State for defence Please reserve me______ ticket(s) @ £37.50 each Please reserve me a table of ten @ £350.00 Guest Name 1______________________________________________________________________ Guest Name 2______________________________________________________________________ Guest Name 3______________________________________________________________________ Guest Name 4______________________________________________________________________ Guest Name 5______________________________________________________________________ Guest Name 6______________________________________________________________________ Guest Name 7______________________________________________________________________ Guest Name 8______________________________________________________________________ Guest Name 9______________________________________________________________________ Guest Name 10_____________________________________________________________________ Please confirm any dietary requirements________________________________________________ _________________________________________________________________________________ I enclose a cheque payable to B&CCA for £______________ Name:________________________________

Tel:________________________________

Address Line 1:_________________________

email:______________________________

Address Line 2:_________________________ Address Line 3:_________________________ Address Line 4:_________________________

Please return with full payment to: Annual Dinner B&CCA 5 White Horse Hill Chislehurst Kent BR7 6DG


Bromley Conservatives Annual Dinner Booking Form