Derby Merlin Round Table

40th Charter Celebrations

Friday 9th October 2009 7:30 for 8:00pm

Menzies Mickleover Court Hotel, Etwall Road, Derby DE3 0XX

Please use this form to book in for Derby Merlin's landmark 40th Charter. Upon receipt of your booking, we will email confirmation that your place has been reserved. We would of course prefer advance payment (see below), but payment by cash or cheque on the evening will be acceptable. We look forward to making you welcome.

Name*

Table (if appropriate)

Email Address*

Mobile Phone*

Dietary Requirements

Do you require accomodation?

Yes No

Preferred payment method*

Cheque in advance - THANK YOU (see below) Cheque or cash on the evening

Would you like to book on behalf of fellow Tablers and/or guests? If so, please list their name here and remember to provide details of dietary requirements

Would you like us to send an invitation to any guests on your behalf? If so, please provide details here

* Indicates field is required.

For more info, contact...

 

Ralph Willis 07967 157987 ralph.willis@tesco.net  or

 

Will Ingleby 07976 853378 will@bluebirdcrm.co.uk

 

Cheques payable to Derby Merlin Round Table should be sent to Ralph Willis at 4 Barnwood Close, Mickleover, Derby DE3 0QY

 

Derby Merlin Round Table is a proud member of RTBI Area 14 www.derbymerlin.co.uk