Speakers' List Entry Form

Name of Group:

 

Name of Speaker/Contact:

 

Address:

 

Town, County:

 

Postcode:

 

Telephone:

 

E-mail address:

 

Areas to which you are prepared to travel

 

Type of presentation and topic:

 

Expenses required:

 

Equipment which would be required:

 

Any other relevant information

 

If your group has more than one speaker, please submit one form for each person as required.

Signed: ...........................................................................

Date: ...................................

Please return this completed form to:

Mr M K Dickson, Railway Associations In London
62 Tranquil Vale, Blackheath, London SE3 0BN

Or by e-mail to speakers@rail-london.org.uk


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