2012 Gala Ball Booking Form

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Booking Form

The Crystal Ball - 2013 Gala Event

Please complete in full

Name of Company (if applicable):

Name:

	Address
Address line one	Address line one, Address:
Address line two	Address line two, Address:
Town	Town, Address:
Postal Code	Postal Code, Address:

	Landline	Mobile
Contact Details	Contact Details, Landline:	Contact Details, Mobile:

Email:

	A Table of Ten (please state number of tables required)	Single Tickets(please state number of Single Tickets required)
I would like to reserve	I would like to reserve, A Table of Ten (please state number of tables required):	I would like to reserve, Single Tickets(please state number of Single Tickets required):

	No special dietary requirements	Vegetarian (please confirm number of vegetarians from within the group)	Other (please give details)
Special Dietary Requirements	Special Dietary Requirements, No special dietary requirements:	Special Dietary Requirements, Vegetarian (please confirm number of vegetarians from within the group):	Special Dietary Requirements, Other (please give details):

Where did you hear about this event?

Any other comments:

Thank you for reserving a place at The Crystal Ball. We will contact you as soon as possible to confirm your reservation and arrange payment.

If you do not hear from us within 5 working days of submitting this request please let us know.

Please note that we are currently taking full payment for single tickets. A 10% deposit is required to secure a table of 10 with the full balance payable by Friday 30th August 2013.

We look forward to welcoming you to The Crystal Ball.