Please print out this form, complete it and return it with your cheque, made payable to UKIC, to the Section Treasurer, at:
Keith Barley, Treasurer, UKIC Stained Glass Section, Barley Studios, Church Balk, Dunnington, York

Booking Form - UKIC/CVMA Symposium, 13 May 2002

Please send me ___ ticket(s) for this event.

I enclose a cheque for the sum of £_____ made out to UKIC.
(PRICE: £15 for UKIC and CVMA members and £20 for non-members)

NAME:

ADDRESS:

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