Champagne
Five course meal with
Comedian
Band
reception
wine & liqueurs
Rod Woodward
High Time
sponsored by:
Dinner Dance Hilton Birmingham Metropole, NEC Friday 7th February 2014
Reservation and payment details
Payment method
Tables for 10
By cheque payable to EUA (enclosed) (Payment must accompany booking)
£1080 - (£900 + VAT) if booked before 30.11.13
Mastercard
£1,200 - (£1,000 + VAT) if booked after 30.11.13
Visa
Card number:
Places per person £108 - (£90 + VAT) if booked before 30.11.13
Start date
£120 - (£100 + VAT) if booked after 30.11.13
Expiry Date
I authorise the total payment of: £
Issue No
Security code
If applicable
Last 3 digits on the back of card. This is mandatory to process your card.
incl VAT
Preferred location
Exact name on card:
Near to the dance floor and stage At a distance from the dance floor and stage
Signature of card holder:
No preference
Booker details Contact name:
Company name:
Address: Tel (direct dial):
Fax:
Email address: Company name and address for invoicing if different from above:
Please email this completed form to Natalie Flay, EUA Events & Projects Manager on natalie@eua.org.uk, or post to Camden House, Warwick Road, Kenilworth, Warwickshire CV8 1TH A confirmation letter and VAT receipted invoice will be sent to you, along with details of specially discounted accommodation rates at the Hilton Birmingham Metropole Hotel.
Cancellation policy: In the event of cancellation of your booking: -Not later than 31/12/12: full refund less £10 admin charge per person -Not later than 20/01/13: 50% refund -After 20/01/13: no refund