Moore Thompson’s Professional Quiz Night

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22nd September 2016

To book your team’s spot at the quiz night, please fill in the form.

Entry per team is £60. (maximum 4 members) – Entries MUST BE in by 29 August 2016

Your Name *  
Email Address *  
Team organiser contact number *  
Team Name *  

Team Members

Evening Meal Choice

 I confirm that I have today posted a cheque for £60.00, made payable to The Moore Thompson Charity Fund CIO, sent for the attention of Louise Bacon, Moore Thompson, Bank House, Broad Street, Spalding, Lincolnshire, PE11 1TB
 I confirm that I have today sent a £60.00 payment via BACS to the Moore Thompson Charity Fund CIO sort code 20-80-78, account number 73422186.
Please insert name of payee as it appears on your bank account details so that we can track your payment
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