The 49th International Antique

Science, Medical & Technology Fair

17^th October 2010, Holiday Inn Hotel, Bloomsbury,
Coram street, London WC1N 1HT, 10am to 3pm

Booking Form

Please return with your payment to:         D G Squire (make cheque payable to)

15 The Avenue

Haslemere

Surrey

GU27 1JT

 

Name
Address
Country
Postcode/Zip
Tel:
Mobile:
Email Address
Number Of Tables ................ @ £90.00 each

 

My cheque is enclosed for  £…………………..Made payable to D G Squire

(Cheques in sterling drawn on a UK bank)

 

I have read the exhibition terms and conditions and agree to abide by them.

 

Signed ……………………………………………………………………Date …………………….

 

Receipt Issued.....................

 

 

 

RECEIPT

 

Cheque    Cash    (circle which)

 

£_____ for _____ tables received from______________________________________

 

For the 17^th October 2010 Antique Science, Medical & Technology Fair

 

 

 

Signed ______________________________________   Date _________________

                        (for the fair organisers)