SWWRIAC 2020 Booking Form

51st REGIONAL INDUSTRIAL ARCHAEOLOGY CONFERENCE
SOUTH WALES AND WEST OF ENGLAND
Malvern, Worcestershire 4th April 2020

BOOKING FORM

booking details - nOT CONFIRMED UNTIL PAYMENT RECEIVED

* Indicates required field

Name of Person Making the Booking *

First

Last

Dietary or other needs for this person *

Tour Preference *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Parking needs *

No vehicle Party in One Car Party in One Car - blue badge holder Party in two or more vehicles - details below

Details for multiple vehicles (note parking is limited!) *

Name of Second Person *

First

Last

Dietary/special needs Person 2 *

Tour Preference Person 2 *

Name of Third Person *

First

Last

Dietary/special needs Person 3 *

Tour Preference Person 3 *

Name of Fourth Person *

First

Last

Dietary/special needs Person 4 *

Tour preference Person 4 *

Please include any further names in the comment box.

Member Society (if applicable) *

Display Space needed? Details *

Other comments? *

By submitting this form you agree that we can contact you by email or other means with regard to your booking and this event. We will not send you anything else or pass your details to any third party.

Submit

payment

Option 1 - Send Cheque for £23 per person payable to WIA&LHS to:
Christine Silvester,
12 Upper Park Street,
Worcester WR5 1EX

Option 2 - Use PayPal button below, adjust quantity to match number in party:

​51st REGIONAL INDUSTRIAL ARCHAEOLOGY CONFERENCESOUTH WALES AND WEST OF ENGLANDMalvern, Worcestershire 4th April 2020BOOKING FORM

booking details - nOT CONFIRMED UNTIL PAYMENT RECEIVED

payment

51st REGIONAL INDUSTRIAL ARCHAEOLOGY CONFERENCE
SOUTH WALES AND WEST OF ENGLAND
Malvern, Worcestershire 4th April 2020

BOOKING FORM