VINTAGE HOLLYWOOD BALL Friday 6th March 2020 Stoke By Nayland, Hotel, Golf and Spa
Booking form Please complete and return with your payment no later than Monday 10th February to: Headway Essex, Sixth Floor Annex, Wellington House, 90-92 Butt Road, Colchester, Essex, CO3 3DA ☐ £650 – A table for 10 people ☐ £70 – Ticket per person. Quantity______ Should you wish to purchase a table of 8 or 12, this can also be accommodated. Smaller groups also welcome.
Payment method ☐ Please find enclosed my cheque, made payable to Headway Essex, for £ _________. ☐ I have transferred £_________to the Headway Essex account. CAF Bank Account no 00011576, Sort code 40-52-40 ☐ I require an invoice to be sent to the below address to make payment Name:______________________________________________________________________________ Address:____________________________________________________________________________ Postcode:___________________ Tel:____________________________________________________ Email: ______________________________________________________________________________ Data protection: We will only ever send you information relating to Headway Essex events. We will not share your information with third parties. If you would like us to stay in touch, please confirm by ticking how you would like us to contact you; Email ☐ Post ☐ Phone ☐
Nearer to the event date, we will send all tickets and information about the auction to the above address unless advised otherwise. Overleaf please give the full names, email addresses and any dietary requirements of your party.
Registered charity No: 1008807
VINTAGE HOLLYWOOD BALL Friday 6th March 2020 Stoke By Nayland, Hotel, Golf and Spa
Full name
Email address to send details of auction lots
Dietary requirements
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Terms and conditions 1. Tickets are non-refundable however, they are transferable. In this instance, please notify the Fundraising Team via email or telephone, with the name changes so we can update our records. 2. In the event of adverse weather conditions or ‘Acts of God’, tickets will be non-refundable.