1. Awards Dinner 2017 Booking Form

    Date: Saturday 11th November 2017
    Venue: The David Lloyd Centre, Port Solent
    Time: 7.30pm for 8pm - midnight
    Cost per person: £15.00



    Carriages at Midnight

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  2. Main Contact Details
  3. Full Name*
    Please enter your full name
  4. Email*
    Please enter your email address
  5. Address*
    Please enter first line of your address
  6. Address 2*
    Please enter second line of your address
  7. Address 3
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  8. City*
    Please enter town/city
  9. County*
    Please enter county
  10. Postcode*
    Please enter postcode
  11. Tel: Home/Mob*
    Please enter home/mobile number
  12. Tel: Home/Mob
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  13. 1) Enter the number of tickets required from the drop down menu below
    2) Click Add ticket
  14. Tickets required (max 4)*
    Add ticket




    Please enter how many tickets required
  15. Payment
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    A PayPal account is not required, payment can be made by debit/credit card
  16. MENU CHOICES
    Please select from options below
  17. Full Name
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    Guest 1
  18. Vegetarian
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  19. Full Name
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    Guest 2
  20. Vegetarian
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  21. Full Name
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    Guest 3
  22. Vegetarian
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  23. Full Name
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    Guest 4
  24. Vegetarian
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  25. Confirmation of Order
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  26. Please Confirm*
    Please check your details and click 'I agree'
  27. After clicking the submit button below, you will be redirected to Paypal.
    (A Paypal account is not required, payment can be made by debit/credit card).