Please return by mail to Éamon Chawke, School Programmes Officer, The English-Speaking Union, Dartmouth House, 37 Charles Street, London, W1J 5ED or by e-mail to eamon.chawke@esu.org.

ESU PUBLIC SPEAKING COMPETITION FOR SCHOOLS 2011-2012

CHEQUE REQUISITION FORM FOR BRANCH ORGANISERS

Name: ___________________________________________________________________________ Branch: __________________________________________________________________________ Number of Schools: ________________________________________________________________ Please list the names and addresses (postcode will suffice) of the schools entering in your branch heats. If you have insufficient space, use the other side of this sheet. The ESU will send you £20 per team entered. Please return this form by Friday, 2 December 2011. Please make our cheque payable to (exact wording): ___________________________________________________________________ Dates we expect to hold our heats (even vague dates will suffice): _______________________________________________________ Signature: ____________________________________________ Date: ______________________