Print and return to the address printed below

Name of delegate:

...........................................................

Address:

...........................................................

...........................................................

...........................................................

Telephone:

...........................................................

Email:

...........................................................

Organisation:

...........................................................

I enclose a cheque for £10 (waged) / £5 (unwaged)
(delete as appropriate) made payable to PPPS.
Send to Conference, 52 Beachy Road, London E3 2NS.