FBRT Rosa-Solis Day: Booking Form (per person)

To book a place on the event, please fill out the form below, print it out, sign it and then post it with the required fee to the FBRT at the following address:

The Secretary, The Francis Bacon Research Trust,
Roses Farmhouse, Epwell Road, Upper Tysoe,
Warwick, CV35 0TN, England.

Cancellations: No refunds within three days before each event.

Please select/tick/fill in the boxes as appropriate.

I wish to book places on the following event:

Rosa-Solis Day: ‘The Rosicrucians, Freemasons, Bacon & Shakespeare’ - 20/03/10 (fee per person £45)

Personal Information
     
Title
 First name
 Last name
       
House/Street address
City/Town/Village
County/State/Province
 Postal/Zip Code
Country
     
Phone (incl. code):
 Fax:
 E-mail:

Please tick if you do not wish to have the above information shared with other associated organisations:

Names of others accompanying you (if applicable)
     
Title
 First name
 Last name









       

I enclose a for £ made payable to the FBRT
(all payments to be made in £ Sterling).


Signature: ........................................................................ Date: .......................................