<p> Traditional Brickwork – Manufacture, Decay & Remedial Measures Elvaston Country Park, Derby, Derbyshire, DE72 3EP Thursday 19th July 2012 BOOKING FORM</p><p>Please complete this booking form and email it to Cathie Clarke at: [email protected] Invoices will be forwarded on receipt of booking form. Payment will be required through BACS transfer or cheque 7 days prior to start of course. For more details call Cathie Clarke on 07590 808060</p><p>Name: </p><p>Position: </p><p>Email: </p><p>Tel: (landline & mobile) Organisation:</p><p>Address:</p><p>SESSION BOOKING PREFERENCE</p><p>Places are limited for the afternoon site visit and will be allocated on a 1st come 1st served basis. </p><p>Please indicate which parts of the training event you would like to attend:</p><p>Morning Seminar + lunch only (10 spaces) £35 + VAT</p><p>Morning Seminar, lunch & afternoon site visit (20 spaces) £65 + VAT</p><p>If site visit spaces have already been allocated, please put me on a waiting list</p><p>How did you hear about this event?</p><p>Email from HeritageSkillsHUB Email from other organisation (please state which) </p><p>Word of mouth Google Social Media (eg Twitter)</p><p>DIETRY REQUIREMENTS </p><p>ACCESS REQUIREMENTS</p>