Harry Jacobi Memorial Lecture Acceptance Form

The Third Harry Martin Jacobi Memorial Lecture

Acceptance Form

The Lord Alf Dubbs will be delivering the lecture, entitled “Why does how we treat refugees matter?”

As you have received a formal invitation to the above lecture on Sunday 17 July, please use this form as your reply. PLEASE REPLY BY 1 MAY 2022.

Attendance at the Lecture

Name *

Email address

Total number of guests

Please include everyone attending including yourself and your guests.

Persons address *

House name or number

Address line 1

Address line 2

Address line 3

Address line 4

City

County

Postcode

Special access, dietary or other Requirements

Please let us know if you have any special access, dietary or other requirements or have any queries.

Vehicle registration No.

Please press SUBMIT to send us your form or you can print it and send to:
Southgate Progressive Synagogue
75 Chase Road Southgate
London
N14 4QY