Download downloaded here.

Ladies Night Registration Form
Your Name: ………………………………………………………………………………………………………………………………………………………..
Your Business Name: ………………………………………………………………………………………………………………………………………….
Your Business Address: ………………………………………………………………………………………………………………………………………
Your contact telephone number:……………………………………………………………………………………………………………………….
Your email: ………………………………………………………………………………………………………………………………………………………..
About Your Business
Can you give a brief description of your business? This is the wording we will use on Grindeys website to promote
your business.
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If yes to these please provide the account name/address.
Do you have a website address: ……………………………………………………………………………………………………………………….
Do you have a Twitter Account: ………………………………………………………………………………………………………………………..
Do you have a Facebook Account: ……………………………………………………………………………………………………………………..
Do you have a Linked In Business/ Company Page:……………………………………………………………………………………………
To guarantee your place and for your business to be added to all the marketing promotion material we need to
receive this form and your payment of £20. Payment can be made by cash, by a cheque made payable to Grindeys
Community Limited or by payment directly into our bank. Cash or cheques can be delivered to the address below
(please don’t send cash in the post).
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I enclose a cheque for £20
I have paid £20 cash
I have paid directly into the Grindeys Community Bank Account
(Sort Code 20-36-43 Account Number 73728951)
Please note we cannot accept card payments.
Grindeys Solicitors, Glebe Court, Stoke on Trent, ST4 1ET