Markfield Conference Centre

Ratby Lane, Markfield, Leicestershire, LE67 9SY

Booking Form

Name of Organisation:
Full Address:
Contact Name:
Person responsible for food:
Telephone:
(with area code)

Day:
Evening:
Mobile:
Fax:
Email:
Name of referee:
Event:
If other, please specify:
Main Speakers (if any)
Booking:

From: Day:  Month:  Arrival Time:

To:     Day:   Month:  Departure Time:

Would you consider alternative dates:
 Yes No
If Yes please indicate:
Number of Participants:
 Male:  Female:  Children/Babies:
Name of supervisor(s):
(separated by commas)
 Name(s):
Menu:
 Standard Special     (Please see Terms and Condition)
Other requirements:
 Conference Hall
Tutorial rooms
Microphone
OHP
PowerPoint
Sitting arrangement
Non Refundable Deposit: Sent by Post: £ (Sent at the above address)