South & South East Conference November 2011

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Monday 21 November 2011 Solent Conference Room, Ordnance Survey, Adanac Drive, Southampton SO16 0AS 11.00 am – 4.00 pm

Will you be attending the Conference? Please select --> YesNo

If your answer was yes, please complete the information below.

Area Association

Full Name

Address

Telephone Number

Email Address

Will you be bringing an additional delegate? Please select --> YesNo

If your answer was yes, please complete the information below.

First Name

Address

Telephone Number

Email Address

Do you have any special dietary requirements? Please select --> YesNo

If yes, please state what your dietary requirements are

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