Burgis & Bullock - Chartered Accountants in Leamington Spa, Nuneaton & Rugby

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Corporate Exchange Networking Forum (CEN - Nuneaton)

CEN - Nuneaton Booking Form

Complete the following form to book your place on our next BGN:

First Name*:

Surname*:

Company*:

Position within Company:

BGN Member?

Address1:

Address2:

City:

Postcode:

Email*:

Website:

Phone:

Dietary (please specify):

Disabilities (please specify):

Attendee names:

1) First Name:

Surname:

2) First Name:

Surname:

3) First Name:

Surname:

4) First Name:

Surname:

	Places	Date	Time	Location
		Thursday 7 February 2008	12-2pm	The Thai Tham Restaurant, Coton Road, Nuneaton (map attached)

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