The Hi - Tide Inn, Macworth Road, Porthcawl

Date : October 20th 2012 Time : 2.00 pm.

Will you please fill in the information if you wish to attend the WKPA Annual General Meeting on the above date,

so we have a rough idea how many people will require afternoon tea.

( Please inform us asap for booking purposes )

.........................................I will be attending the Conference/AGM---. --- ------.------ YES NO

I will require ( number of seats ) --------............................................... 0 1 2 3 4 5 6 7 8 9 10 ....seat (s)

. ---------........................... Mr. Mrs. Miss Ms. ........

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. ............................................... TRANSPLANT PATIENT DIALYSIS PATIENT CARER PRE DIALYSIS HEALTH PROFESSIONAL

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