President's Event 2007

Registration Form

Herb Society logo

Please print and complete this form

Title (Mr/Mrs/Ms):_____ First Name:________________
Family name__________________________________

Address:_____________________________________
____________________________________________
____________________________________________
Post Code:_______________

Telephone:_________________________Fax:______________________________
Email:____________________________

Vegetarians will be catered for but if you have any other requirements, please let us know:______________________________________________________
__________________________________________________________

Payment details

Prices (includes lunch, refreshments and delegate pack):
Members: £50.00
Non-Members: £70.00
Please send me [ ] ticket(s) at the members’ price
Please send me [ ] ticket(s) at the Non-Members price

I would like to join the Society saving me £20 on the event ticket price.

Please tick one of the following annual membership types (see below for information on membership)

[ ] Full £25.00.
[ ] Concessionary £22.50.
[ ] Family £40.00.

Item	£
Ticket(s) Total
Membership Fee Total
Donation (Optional - Society will treat as gift aid)
Total

Please make cheques payable to The Herb Society.

If you prefer to pay by credit card, please complete the following. We take Visa, Mastercard, or Eurocard - sorry, but we cannot accept debit cards

Please debit the above total from my credit card.

Name on card _____________________ Type of card ________________

Card No. _______________________ Expiry date __________________

Signature ______________________ Date ___________________

Please return this form completed with your payment to

Vicki Bowen
The Herb Society
PO Box 626
Banbury, OX16 6EY

For further information contact Vicki Bowen, Administrator, on
Telephone: 01295 768 899. Email

Membership information

Your Membership Welcome Pack will be sent to you with your ticket(s) and receipt.

Concessionary members are senior citizens and full-time students.

Family membership includes two adults and two children.

Group bookings from Affiliated Groups can be made by contacting the Society.

Data Protection Act 1998

Personal data on this form will only be used for the purpose of Herb Society administration and will not be disclosed to any external party without your prior written consent.

Refunds

cannot be made less than three weeks prior to the above event.