Names List for the Visit to Springfields

Names list for the visit to Springfields

This information is required to comply with security and safety regulations

Name of Group/Organisation:
Date of visit:

Visitors Names:

/

Forename

/ Surname / Nationality if not British /
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Names list continues on next page
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I / confirm that the above are all British
Nationals (or have received security clearance), are known to me and attend the above
named group /organisation.
Signed: / Position:
Signature not required if form is emailed
Mobile phone number (if available):

See confirmation letter regarding maximum number of visitors and number of adults required per visit.

Please return to:

Community Relations, Springfields Fuels Ltd., FREEPOST, Springfields, Salwick, PRESTON, PR4 0XP

or fax to: 01772 762155

or email to: .

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