HASSRA North-East Trip/Event booking form

HASSRA North-EastTrip/Event booking formTrip/Event nameHASSRA member nameMembership numberWork e-mailWork addressWork tel.no.Home addressHome tel. no.Mobile tel. no.IMPORTANT NOTE – PLEASE READAll HASSRA members must include their membership number. If you do not knowyour number please contact Regional Office at HASSRA-NorthEast@DWP.GSI.GOV.UK who will supply your numberIf your booking form is not fully completed it will be returned to you. No booking willbe made without a fully completed form.Individual bookings should be for no more than 6 personsCheques should be payable to HASSRA North-East TripsCancellation: If HASSRA North-East cancels a trip then a full refund of any moneypaid will be made to the member with an explanatory letter. If a member cancelsthen unless they can find a replacement member, they will lose any money paid.All trips/events are on a “first come - first served” basis. Bookings only accepted withpayment. No post-dated cheques can be accepted.

COMPLETED BOOKING FORMS & CHEQUESShould be sent by external post to :Marie Mead/Carol GrahamHASSRA North-East TripsStockton BCTees BuildingsStockton on TeesTS18 3BUFull details of your party including yourself.Full NameHASSRAmembershipnumberPlease state whethermember/guest or child(If child state age)Full amount dueTotal DueTerms & Conditions:I have read the HASSRA Code of Conducthttp://intralink/1/corp/sites/hassra/pages/DWP_T373605.pdf & agree to abide by theCode of Conduct.Only persons named on this booking form will attend the event unless organisers areinformed.Members booking for guests are responsible for the guests behaviour.Sign……………………………………………….. Date……………………………..