INSURANCE INSTITUTE OF MANCHESTER DINNER 2007

(November 16^th 2007 – Palace Hotel Manchester)

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Company Name and address:

Contact details: Very Important we can read these – please write your email address and phone number VERY clearly

·        Name:

·        Email:

·        Phone:

Number of tickets required @ £60.00 per head: (price includes a voluntary donation of £5 to the insurance charities)

Name(s) of table manager(s):

We are interested in sponsorship opportunities at the Dinner:

     YES / NO  (Please delete as appropriate)

THIS FORM MUST BE RETURNED NO LATER THAN FRIDAY AUGUST 24^th 2007 TO:

Insurance Institute of Manchester

4^th Floor, Royal Buildings

2 Mosley Street

Manchester

M2 3AN

WE WILL CONFIRM THE NUMBER OF TICKETS YOU HAVE BEEN ALLOCATED BY FRIDAY SEPTEMBER 14^th  2007

* Please note that this year we will not be producing a table plan so you will not have to supply us with a list of the names of your guests.