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Christmas Booking Form
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PLEASE COPY AND PASTE INTO A WORD DOCUMENT, TYPE IN YOUR DETAILS AND EMAIL TO hmamig@gmail.com OR POST TO:
Alyson Ryan, HMA, The Old Forge, Blanket Street, East Worldham, Hants GU34 3AG HMA CHRISTMAS AWARDS LUNCHEON MONDAY 19TH DECEMBER 2011 I wish to reserve _____ table(s) of 10 @ £790 (inc VAT) or _____places @ £79.00 each Name: ____________________________________________________________ Position: __________________________________________________________ Company Name: ____________________________________________________ Address: __________________________________________________________ ________________________________________________________________ Email Address: _____________________________________________________ Table plan Name or Names for individual bookings: _________________________________________________________________ Special Dietary Requirements: _________________________________________________________________ I enclose a cheque made payable to the HMA for the sum of £_______ Or by credit card: Amex /Visa/Mastercard/Switch/Other for the sum of £_______ Name on Card: ____________________________________________________ Address of Cardholder: _______________________________________________ __________________________________________________________________ Credit Card No: _____________________________ Security No: ______________ Expiry Date: ________________ Issue No/Start Date (Switch only): ___________ Signature: _________________________________________________________ All bookings will receive confirmation and those booking tables or more than 4 places will receive a wine order form. Chartered Institute of Marketing Vat No. 302 2509 13
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