UNISON NORTH WEST LGBT GROUP AND NORTHERN WAVE

Red Ribbon Ball

Thursday 29th November 2012, 7pm, Mercure Hotel, Manchester

Reservation Form (UNISON)

Please complete the form below – print information clearly and return to the address below by 2nd November ‘12

1. / YOUR ORGANISATIONS DETAILS
Branch name (if applicable)
Regional group (if applicable)
Contact name
Address
(this address will be used to send your tickets once payment has been processed)
Postcode
Telephone number
Email address
2. / YOUR RESERVATION DETAILS
Type of reservation / Table reservations: / o / Individual places: / o
# / Guest names: / Please specify any dietary requirements:
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3. / PAYMENT DETAILS
Booking type: / Cost: / Please state number of tickets you require:
Individual tickets / £50 per person / o
Table reservations / £400 maximum of 10 guests per table
(a saving of up to 20% on individual ticket costs) / o

PAYMENT METHOD:

Please tick your method of payment: / Cheque / o / Invoice / o

Cheques should be made payable to ‘UNISON North West’ for the total cost of your party. If paying by cheque please enclose this with your Reservation Form.

INVOICE DETAILS:

If you are paying by invoice, please provide your invoice address below (if different from that of the contact on front of this Reservation Form):

Invoice address
Postcode

Whether paying by cheque or invoice, payment must reach UNISON by Friday 2nd November 2012.

RETURN OF FORMS:

Reservation Forms should be submitted to arrive no later than 2nd November 2012 by post to:

Janet Caulfield,

UNISON North West,

UNISON Regional Centre

Arena Point, 1 Hunts Bank, Manchester M3 1UN

Or by fax to 0161 661 6710 or email .

Places maybe limited therefore you are advised to book as early as possible. You will receive booking confirmation from us on receipt of your form and tickets will be sent to you once payment has been processed. Please note that the dress code is Black Tie.

Signed:
Print name:
Date: