2012 Refund Form member by QQ83Sg

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									                                   CLA GAME FAIR 2012
                             MEMBER REFUND APPLICATION FORM

To claim a refund for your CLA Game Fair tickets please complete this form and return it to the address
below by Friday 28th September, 2012.


YOUR CONTACT DETAILS

Membership Number (if appropriate):

Name/Company Name:

Address:




County:

Postcode:

Email address:

Daytime Telephone:



YOUR CLA GAME FAIR REFUND

All refunds will be made by BACS. This is the fastest way that we can get your money to you.

 Please indicate the requested amount of refund:         £

Please tick
              I would like a full refund by BACS to the account detailed below


ACCOUNT DETAILS FOR BACS REFUND
Bank/Building Society account number
                                                                  Account Name


Branch Sort Code




Signed                                                                     Date

Please return your completed form by post by Friday 28 September 2012 to:

CLA Game Fair
16 Belgrave Square
London SW1X 8PQ

								
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