Please use this online form to book a place at Summerfest Youth 2011. (14 - 17 August 2011)

Summerfest Youth will be held at the John Burnet Halls, University of St. Andrews.

Please complete this form if you have NOT been delegated by your local Party Council.

Summerfest Youth costs £30 and includes dinner, breakfast & accomodation.

To pay you can either send a cheque to: Co-operative Party Youth, 87 Bath Street, Glasgow G2 2EE

Alternatively you can make an electronic payment to:

Co-operative Party Youth,

Sortcode: 08-60-01 A/C: 20243708

Reference: SFEST & Your Surname
1
What is your name & address?
Name
Company
Address 1
Address 2
City/Town
State/Province
Zip/Postal Code
Country
Email Address
2
What is your telephone number? (preferably mobile)