Pop Up Display Banners Booking Form - Midlands

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Banner Booking Form
Pop up Display Banners booking form
Number of banners required (max 5)
Date you will collect banners from Regional Office
Date you will return banners to Regional Office
Date/s of event
Collection and return will be subject to agreement with the Regional Office staff and an
approximate time will be agreed.
Your details
Title
Mr /
Mrs /
Ms /
Miss / Other please specify:
First name
Surname
Address
Town
Postcode
Phone (daytime)
Mobile
Email
Please note you must provide at least one phone number or your email address.
Your DofE information
Operating Authority
DofE group
DofE use only
Booking confirmed
Authorisation signature:
and input into diary
Please return this booking from by e-mail to
or by post to
The Duke of Edinburgh’s Award,
Second Floor Offices
Carlton House
Mere Green Road
Four Oaks
Sutton Coldfield
B75 5BS
If you have any queries please call 0121 308 9470
Please note: your booking is not confirmed until you have received confirmation from the
Regional Office. Many thanks.

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