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I will/will not attend the                   (   /   /2009) Dinner?              Yes / No
Guests? 
Cheque enclosed? (dinner £20 pp, payable to COSG)  Vegetarian?                                                                                        Name…………………………………………………………Contact tel.no…………………………………..To: Alison Newlyn, COSG, Oral & Facial Dept, East Surrey Hospital, Redhill RH1 5RH