CVS Cheshire East’s

Volunteer’s Gala Night

4th June 2014 at 6.30pm

AstraZeneca’s Mereview Restaurant(Church Lodge Entrance)

Mereside, AstraZeneca Alderley Park, Nr Macclesfield, Cheshire, SK10 4TG

Your Name:
Your Organisation:
Organisation Address:
Your Contact No:
Your Email Address:
Has your organisation or anyone in your organisation won a volunteering award this year?
If yes, please detail / Are you happy for us to share this news at the Gala?*
Have you any photos of your
volunteers ‘in action’ that you are happy to send us?
If so, please send to with details of their name/s and organisation they are representing / Are you happy for us to show these at the Gala?*
Please list below the details of up to 5 attendees from your organisation.
Please use the attached Volunteer Recognitionform to decide upon a category for each volunteer
Attendee 1
Attendee’s Name:
Attendee’s Telephone No.
Attendee’s Email Address:
Do they have any Dietary/Access/Disability Requirements?
Volunteer?
Volunteer Recognition Category

* We cannot guarantee that we will do so, but will try our best to include these

Attendee 2
Attendee’s Name:
Attendee’s Telephone No.
Attendee’s Email Address:
Do they have any Dietary/Access/Disability Requirements?
Volunteer?
Volunteer Recognition Category
Attendee 3
Attendee’s Name:
Attendee’s Telephone No.
Attendee’s Email Address:
Do they have any
Dietary/Access/Disability Requirements?
Volunteer?
Volunteer Recognition Category
Attendee 4
Attendee’s Name:
Attendee’s Telephone No.
Attendee’s Email Address:
Do they have any Dietary/Access/Disability Requirements?
Volunteer?
Volunteer Recognition Category

Continued …

Attendee 5
Attendee’s Name:
Attendee’s Telephone No.
Attendee’s Email Address:
Do they have any Dietary/Access/Disability Requirements?
Volunteer?
Volunteer Recognition Category

.

Please send your completed form to

by 5pm Thursday 29th 2014

You can talk about the Gala on Twitter using #volgala14

Places cost just £15 per person

Cheques payable to CVS Cheshire East.

Please contact us for other payment methods, i.e BACS & Paypal

Please don’t delay in sending back your form as places are now limited. Amendments to the names of your attendees can be made up until Friday, 30th May 2014.

If you have any questions, please direct them to 01270 763100 or email

1