NON-APA MEMBERS I would like to book 1 table for 10 people at £1950+VAT per table _______

1. APA Effectiveness Awards- Table Booking Form NON-APA MEMBERS I would like to book 1 table for 10 people at £1950+VAT per table _______ I would like to book table(s) for 10 people at £1650+VAT per table________ I would like to book place(s) at £195 +VAT per person Total number of tables/guests:_________ Payment Details: Please make all cheque’s payable to Periodical Publishers Association Please debit my credit card for the total amount due of £ MasterCard/Visa only (Please delete as applicable) Card Number: _ _ _ _ /_ _ _ _ /_ _ _ _ /_ _ _ _ Card expiry date: _ _ /_ _ Contact Number: (required for the three digit security code) Card holder’s name: Card holder’s address: Postcode: Signature: Please fax your booking form to 020 7404 4167 For any queries contact Carly Osman on 020 7400 7506 or email carly.osman@apa.co.uk Tickets will only be guaranteed when payment is received. Tables will be allocated on a first comes first terms basis. Wednesday 26 November 2008 The Room by the River, 99 Upperground, Waterloo, London Please choose from the following booking options: Booking contact name:______________ Agency:_______________________ Invoicing Address::______________ ___________________________ Contact phone number: :_____________ Contact email:______________ APA MEMBERS  I would like to book 1 table for 10 people at £1600+VAT per table  I would like to book additional table(s) for 10 people at £1500+VAT per table  I would like to book place(s) at £175+VAT per person Total Number of tables/guests:______________