SoRCon 5 Booking Form
Date:
Main Contact Name:
Address:
Other Attendees Names:
Landline:
Mobile:
Email address:
Received
by 31st
December 2012		 Received
after 31st
December 2012
No. No.
Whole Weekend £15
£25
Friday 2nd March 2012 £ 4
£ 7
Saturday 3rd March 2012 £ 7
£10
Sunday 4th March 2012 £ 5
£ 8

Any queries please see www.sorcon.co.uk

Please post (with your cheque payable to :

Sorcon Society, 13 Kingswood Road, Woodlands, Basildon, Essex, SS16 5UP

We will be holding this information on a home computer, it will not be shared with anybody who wants to sell you anything. If you choose not to have your information held on computer we will try but cannot guarantee to keep you informed.

Please tick if you DO NOT wish us to store your information on computer.