Please print this form and send to the address below

SCOTTISH DISABLED MEMBERS SELF ORGANISED GROUP

ANNUAL FORUM

SATURDAY 15 DECEMBER 2005

STUC OFFICES, 333 WOODLANDS RD, GLASGOW G3 6NG

DELEGATE FORM

NAME ______________________________________________

ADDRESS ______________________________________________

__________________________________________________________

__________________________________________________________

BRANCH ______________________________________________

SIGNED ______________________________________________

If you have any specific requirements, please detail these below eg. Induction Loop, large print etc. NB. Separate form for creche

 

 

 

 

 

 

 

 

 

This application has been approved by the Branch Secretary of and the Branch *will/will not pay travel and subsistence: (delete as appropriate)

SIGNED ______________________________________________

Please complete and return to Eileen Dinning, Scottish Women's Officer, Unison House, 14 West Campbell Street, Glasgow G2 6ER by no later than Friday 24 December 2004.

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