I N T E R C O M
INTERNATIONAL COMMITTEE ON MANAGEMENT
COMITÉ INTERNATIONAL POUR LA GESTION
CONFERENCE 2002 – DUBLIN, IRELAND
CONFERENCE BOOKING FORM
This completed form and your fee should be returned to Lesley Simpson, INTERCOM Conference, Down County Museum, DOWNPATRICK, BT30 6AH, Northern Ireland.
Name: ___________________________________________________________________
Institution/Organization: ____________________________________________________
Position___________________________________Member of INTERCOM ___(Yes/No)
Address __________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Email _____________________________________ Telephone _____________________
Language preference English ___ French ___
I enclose a cheque or bank draft for €150 (International) or €75 (Ireland), payable to "INTERCOM Dublin" account.
Signature _______________________________________________ Date ____________
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