Spend the Day with PDSA 156.191

DenmanTel: 01865 391991

MarchamFax: 01865 391966

AbingdonE:

Oxon, OX13 6NW

Spend the Day with PDSA 156.191

Thursday 29th October 2015, Denman, Oxfordshire

Attendance is FREE

I would like to apply for the following members of my WI to attend (up to four members, fewer is fine):

WI:………………………………. Federation:…………………………….

Name:
Address:
Tel:
Email:
Special dietary requirements:
I give my consent to being included in any photographs/film taken at the event.
Yes / No
I give my consent to being placed on the Denman database
Yes / No / Name:
Address:
Tel:
Email:
Special dietary requirements:
I give my consent to being included in any photographs/film taken at the event.
Yes / No
I give my consent to being placed on the Denman database
Yes / No
Name:
Address:
Tel:
Email:
Special dietary requirements:
I give my consent to being included in any photographs/film taken at the event.
Yes / No
I give my consent to being placed on the Denman database
Yes / No / Name:
Address:
Tel:
Email:
Special dietary requirements:
I give my consent to being included in any photographs/film taken at the event.
Yes / No
I give my consent to being placed on the Denman database
Yes / No

Please complete every section and return by fax, or post to:

Katie Bell, Denman, Marcham, Abingdon, Oxfordshire, OX13 6NW Fax: 01865 391966

Alternatively, email with all the information requested. It is especially requested that full information is provided for all of those entered on to the application form, including individual email addresses. We would like to inform each person who has been allocated a space via email in order to cut down on postage costs. Those that do not have email addresses who have been allocated a space will receive their own letter in the post. It will not be possible to respond to unsuccessful applicants because of the high volume of applications received.