Friday 26 May 2017, 19:30
Principal Hotel, Manchester
(formerly Palace Hotel)
Attend the red carpet event of the year at this year’s
Hollywood Nights Spring Ball.
£65 PER PERSON
This year’s ball for newly qualified dentists
will be held at the iconic Principle Hotel.
Join your peers for a glass of bubbly before
heading to the Grand Room for a three
course dinner and entertainment.
To book your place please contact the
Events Team on 020 7563 4590 or
post this form back to the address overleaf
by Friday 21 April 2017.
For queries please contact [email protected]
Sponsored by:
BOOKING FORM
Please nominate one main contact for each scheme or group
booking, and please ensure that the guests listed below aren’t
included on any other table and that they have confirmed that
they wish to attend. We will endeavour to accommodate all
seating requests where possible, but please note that some
schemes may have to be split over two adjacent tables as the
venue only accommodates 10 per table.
The deadline for booking places is FRIDAY 21 APRIL 2017.
This event sells out every year and tickets are sold on a first come,
first-served basis. To avoid disappointment please book and pay
for your ticket early and encourage all members of your scheme
to book at the same time. Your place will not be confirmed until
payment has been received. Additional forms are available online
at: bda.org/springball
A confirmation letter/receipt will be sent out once your booking
has been processed.
DFT/VT scheme:
Adviser’s name:
Main contact:
Name (including title):
Tel:
Email:
Address:
Postcode:
Please note this is the address your tickets will be posted to.
Guests details (including main contact):
Name (including title e.g. Mr, Mrs, Miss, Ms):
Please indicate if a guest is a partner/
friend or from a different scheme
Dietary/other requirements:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
PLEASE NOTE: ALL PAYMENTS MUST BE RECEIVED AT THE TIME OF BOOKING
How to pay: I enclose a cheque for £
made payable to the British Dental Association
(Note: Please put DFT/VT scheme and all guest names on the back of the cheque).
And/Or Please debit my credit / debit card £
(tick box):
Visa
Mastercard
Switch/Maestro
Card number:
Valid from:
Expiry date:
Issue no: (Visa Debit / Maestro only)
Name of cardholder:
Security number: (last three digits on the reverse of your card)
Billing address of cardholder:
Postcode:
Cardholder signature:
Date:
Total payment £
PLEASE RETURN THIS FORM WITH PAYMENT TO:
Sarah Rockliff, BDA Events Department, British Dental Association, 64 Wimpole Street, London W1G 8YS
Tel: 020 7563 4590, Fax: 020 7563 4591, Email: [email protected]