Impactful Learning – Young People
When: Thursday 20th September 2012
Time: 0930 - 1330
Booking Form
Title:
First
name:
Last
name:
Job title:
Do you give funding advice to groups and
organisations?
Y/N
If yes please give details:
Email address:
Work telephone (inc
mobile if applicable):
Organisation name &
Postal address:
Please let us know if you
have any special dietary or
other needs:
IMPORTANT: By giving us your contact information you are confirming that The Big
Lottery Fund can contact you in the future with information we feel may be of interest to you.
If you prefer not to be contacted please tick the box.
Conditions of booking:
If this event is oversubscribed places may be limited to one per organisation.
A member of the Big Lottery will be in touch with you shortly to confirm your place and further
joining instructions will be sent to you a week before the event.
Please tick this box to confirm you agree to these conditions of booking.
Please return this booking form to:
E-mail: [email protected]
Post: Jessie Nar, Big Lottery Fund, Apex House, 3 Embassy Drive, Edgbaston, Birmingham,
B15 1TR
Fax: 0121 345 8888
For office use only:
Date received
Initials