Ethnic Minority Awards

Awards and Gala Dinner Tickets

* First name

* Surname

* Title

* Company

* Address

* Country

* Postcode

* Telephone

* Email

*Number of Vegetarians

*Number of Vegans

(PLEASE NOTE ALL MEAT IS HALAL.)

Additional requirements or requests

TICKET COSTS:

Tickets for the Awards and Gala Dinner are £50.00+vat (£58.75)

I would like  Tickets

(Please note tables of 10 and 12 are availble, numbers less than 10 will be allocated on mixed tables)

PAYMENT OPTIONS:

Please invoice me at the above address

Direct to KC Jones account:
    Sort code: 60-12-01
    Account Number: 25061585
    (Natwest, 7 Market Place, Derby, DE1 3ZF)

Cancellations must be received in writing by 25th September 2008 to receive a refund; however there will be an administration fee of £25+vat. We are happy to receive substitute attendees at any time.

Please confirm that you have understood the cancellation policy

Completion of this form is a binding financial contract of payment of the ticket price.

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