The Crypt/Bleeding Heart Restaurants, Ely Place, Holborn Circus, London EC1 N6RY
Charity:
The Prostate Cancer Charity
Date:
Thursday 30 June 2005
Time:
From 9pm to midnight
THE PERFORMANCE IS OPEN TO THE WINE TRADE ONLY
I would like to buy a ticket @ £27.50 per person
I cannot attend the party but would like to make a donation
Please fill in the following information:
First Name
Surname
Company
Position
Address
Address 2
Postcode
Tel
Fax
Email
Please make your cheque payable to 'Women of Wine'.
Please return your completed form and cheque to:
Christelle Guibert
Decanter
Broadway House
2-6 Fulham Broadway
London SW6 1AA
We will not accept bookings by email.
Please send this form by post with your cheque.
Once we have received payment, we will confirm receipt by email.
Booking terms and conditions:
Tickets are available on a strictly first-come, first-served basis.
Tickets are subject to availability and are NOT guaranteed until full payment has been received.
