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Welcome to join us at a Special Black tie Dinner-Debate with President prof. Vytautas Landsbergis

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  To the DIRECTOR, E-AG, 4, St Pauls Way, London N3 2PP Please return this form by 1 June 08

  PLEASE SEND ………. BLACK TIE DINNER TICKET / S @ £65 for members & £68.00 for non-members

  I / WE ENCLOSE A CHEQUE FOR £ payable to ‘E-AJ Ltd’ and a stamped addressed envelope

  MEMBER’s and / or GUEST’s NAME /s (PLEASE PRINT):

  ADDRESS / es (If not on envelope):

   ( Tel / Fax / E-Mail:

  ORGANISATION / DESIGNATION:

   Dietary Requirements: