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Event Booking Form
MANAGING YOUR ONLINE BRAND REPUTATION
23rd March 2010 at The Rubens Hotel, London. 6.30pm

PLEASE COPY AND PASTE INTO A WORD DOCUMENT, TYPE IN YOUR DETAILS AND EMAIL TO ALYRYAN@AOL.COM

OR POST TO: Alyson Ryan, HMA, The Old Forge, Blanket Street, East Worldham, Hants GU34 3AG

I wish to book _____ places - HMA Members £15
______ places - non-members £25

Name: ____________________________________________________________

Position: __________________________________________________________

Company Name: ____________________________________________________

Address: __________________________________________________________

__________________________________________________________

Email Address: _____________________________________________________


I enclose a cheque made payable to the HMA for the sum of £_______

Or by credit card: Amex /Visa/Mastercard/Switch/Other for the sum of £_______

Name on Card: _____________________________________________________

Address of Cardholder: _______________________________________________

__________________________________________________________________

Credit Card No: _____________________________ Security No: ______________

Expiry Date: ________________ Issue No/Start Date (Switch only): ___________

Signature: _________________________________________________________



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