I struggled with the "multiple pad" problem until about 4 years ago I switched to a single daybook.
My preferred book is by Oxford Stationery (see http://www.oxfordstationery.com/web/...ernational.htm - no connection apart from being a satisfied customer). This has the advantage of both left and right hand margins.
I number each page and make notes as necessary, marking next actions with a big "A" in the right-hand margin. These are then transferred to my system after the meeting/discussion etc and the "A" crossed out in the book. Then, part of the weekly review is to check I've captured all the "A"s.
If more information is needed, I can cross-reference the next action with the page in the book. It can also be really useful to have a chronological record of when things happened!
Hope this helps.