Chartered Insurance Institute - Excel

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					                                                                                THE CHARTERED
                                                                           INSURANCE INSTITUTE

Local Institute Stationery Order for Annual Dinners

Institute Name

Date of Annual Dinner
Note: Orders must be received two months before goods required

Contact Details

                                                                            Post Code

Telephone No
Email address

Menu Covers                                                                  Quantity           Total
CII Full Achievement               Cost £35.00 per 100 (35p each)
CII Logo                           Cost £25.00 per 100 (25p each)
Place Cards
CII Logo                           Cost £8.00 per 100 (8p each)

                                                             VAT to be added at 17.5%
                                                                               Sub Total
                                                                                Postage         £6.00

I enclose payment made by: Cheque, made payable to the "Chartered Insurance Insitute" or by

Card type                      Mastercard                   Switch                      Visa

Card number

Issue number (Switch)                 Issue date (Switch)

Expiry date
Card holder name

                                                                            Post Code

Please return this form with your payment to: Maree Hall, Secretariat, The Chartered Insurance Institute, 20
Aldermanbury, London EC2V 7HY

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