Delegate Booking Form - £20 per person
Name:
Company name:
Number of places required:
Address:
Postcode:
20 word company profile for delegates list :
Nature of business:
Tel:
Fax:
Email:
Dietary requirements:
Method of payment (please tick)
cheque to follow email cheque enclosed with this form
Print off and send with your cheque made payable to Lasan Restaurant Limited, 3-4 Dakota Buildings , James Street , St Paul 's Square, Birmingham , B3 1SD .
Back