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Christmas Booking Form
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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