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The Institute of Vitreous Enamellers
Founded 1934 London Reg. No. 290 392

39 SWEETBRIAR WAY, HEATH HAYES, CANNOCK, STAFFS. WS12 2US, ENGLAND
Tel: 01543 450596, Fax: 08700 941237, E-mail: [email protected], Web Site: www.ive.org.uk

EVENTS BOOKING FORM - Last updated: 19 July, 2005
Please print out and post, (together with your remittance)

EVENT SELECTION (Please tick as required)

Please register the following person for the Event or Course Selected/ticked above:
(Please use a separate form for each registration � photocopies are acceptable)

First or Given Name   _________________________________ Mid-Initials_____

Last or Family Name   _______________________________________________

Company Name   __________________________________________________

Address   _________________________________________________________

                  _________________________________________________________

Town/City   ________________________________________________________

Post/Zip Code   ______________________ Country   _______________________

Phone   ____________________________ Fax   __________________________

E-mail   ____________________________    Web Site   ____________________

(Please Tick One) Smoking or Non-Smoking (Required for Basic Approach Course only)
(Please Tick) For Special Dietary Requirements? if so, please give details below and
a contact telephone number
____________________________
_________________

Signature for Company   __________________    Date   _____________________

The above signature implies that The Institute or other persons will accept
no liability in respect of damage due to accident or other circumstances.

Places are limited � pre-reservations accepted now � invoicing end January 2006
Bookings from January with full payment by post, please.

Payment Enclosed   £ ______________ (as re-stated below) or Pre-reservation ____ Please Tick

Basic Course Fees (March 2006): IVE Members & Employees of Company Members �650, Non Members �800

Thank you.


Office Use only Booking rec�d   ______________________

Ref No   _________________Invoice No.   ________________


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