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B O O K I N G

F O R M

ILAM Annual National Conference 2013 3rd October 2013 Cork City Hall, Cork

Facility Name: Name: Position: Facility email address: Personal email address: Telephone number: Mobile number: ILAM membership number: Facility Address:

Payment details: Bank AIB Bishopstown, Cork Account 22532-081 Account Name Ilam Ireland Sort 93-43-21 IBAN IE25 AIBK 934321 22532081 BIC AIBKIE2D

Please choose from the following: > > > > > > >

Conference only (ILAM member) €195* Conference only (non-ILAM member) €250* White Flag Dinner only €75 Conference and dinner only (ILAM member) €250** Conference and dinner only (non-ILAM member) €325** Golf Classic €35 per person Quay To Sea boat ride €20 per person per group of 5

*Includes breakfast, lunch and tea/coffee breaks ** Includes breakfast, lunch and tea/coffee breaks and White Flag dinner

If paying by cheque, please make cheque payable: ILAM Ireland

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