QIPC Workshop
13th-17th July 2003 - Oxford, UK

KEBLE COLLEGE MEALS BOOKING FORM

This form is for delegates staying outside of Keble College but who wish to take meals in the college.  Please complete this form and fax to Christine Lane, QUIPROCONE Administrator at Hewlett-Packard Laboratories, Bristol on -  Fax No: +44 (0) 117 312 9870.

Name:
Address: (include postcode)
Email address:
Telephone no:
Organisation:
Credit card no:  
Expiry date:   mm yy
Valid from:   mm yy
Issue no:   for Switch
Name as on credit card:   
MEAL REQUIREMENTS AT KEBLE COLLEGE 
Lunch Dinner Total per day
Sunday 13th July n/a    £19.00 £
Monday 14th July £11.50 £19.00 £
Tuesday 15th July £11.50 £31.05 (banquet) £
Wednesday 16th July £11.50 £19.00 £
Thursday 17th July £11.50    n/a   £

Total to be charged to card:

 £ 

Additional information/
Dietary requirements:

Workshop contact:  Christine Lane - QUIPROCONE Administrator
Address:  Hewlett-Packard Laboratories, Filton Road, Stoke Gifford, Bristol BS34 8QZ
Tel: +44 (0) 117 312 8079