ticket_application_form_2012

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ANNUAL DINNER & DINNER & AWARDS PRESENTATION Saturday 1 st December 2012 The Sheraton Hotel, Edinburgh Ticket Application Form Must be returned by 20 th November at the latest Name : .......................................................................................................................................... Address: ........................................................................................................................................ ......................................................................................................................................... …………………………………………………………………………………………………………... Postcode : …………………….. Home Tel No : …………………………… Mobile No : ............................................................. E-mail Address : ……………………………………………………………………………………………..... . These tickets are for the following people and will be sent to the name above : 1……………………………………………………… 2……………………………………………………… 3……………………………………………………… 4……………………………………………………… 5……………………………………………………… 6……………………………………………………… 7……………………………………………………… 8……………………………………………………… 9……………………………………………………… 10……………………………………………………… To be seated near to, if possible................................................................................................... Number of tickets : _____ @ £65.00 each. Total Cost : £_______ Bookings will not be accepted without payment Seating 10 persons per table Anyone booking a table must make one payment for all tickets Dress Formal (Evening Dress, Black Tie) PAYMENT – Either by Cheque or Debit/Credit Card 1. Cheque made payable to SMRC to be sent by post with this order to : Heather Brunton, SMRC, c/o Unit 22, Knockhill Circuit, Dunfermline, Fife KY12 0TF 2. Debit/Credit Card on the Club website at www.smrc-uk.com and return this order quoting the reference name/number on your payment below. Payment Reference : …………………………………………….. * Contact the hotel direct to book rooms on either 0131 229 9131 or by e-mail at [email protected] (quote SMRC Dinner). The special room rate is £155 (single) / £175 (double/twin). A limited number of rooms are available.

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ANNUAL DINNER &

DINNER & AWARDS PRESENTATION Saturday 1st December 2012 The Sheraton Hotel, Edinburgh

Ticket Application Form

Must be returned by 20th November at the latest

Name : .......................................................................................................................................... Address: ........................................................................................................................................ ......................................................................................................................................... …………………………………………………………………………………………………………... Postcode : …………………….. Home Tel No : …………………………… Mobile No : ............................................................. E-mail Address : ……………………………………………………………………………………………..... . These tickets are for the following people and will be sent to the name above : 1……………………………………………………… 2……………………………………………………… 3……………………………………………………… 4……………………………………………………… 5……………………………………………………… 6……………………………………………………… 7……………………………………………………… 8……………………………………………………… 9……………………………………………………… 10……………………………………………………… To be seated near to, if possible................................................................................................... Number of tickets : _____ @ £65.00 each. Total Cost : £_______

• Bookings will not be accepted without payment • Seating 10 persons per table • Anyone booking a table must make one payment for all tickets • Dress Formal (Evening Dress, Black Tie)

PAYMENT – Either by Cheque or Debit/Credit Card

1. Cheque made payable to SMRC to be sent by post with this order to : Heather Brunton, SMRC, c/o Unit 22, Knockhill Circuit, Dunfermline, Fife KY12 0TF

2. Debit/Credit Card on the Club website at www.smrc-uk.com and return this order quoting the reference name/number on your payment below.

Payment Reference : ……………………………………………..

* Contact the hotel direct to book rooms on either 0131 229 9131 or by e-mail at [email protected] (quote SMRC Dinner). The special room rate is £155 (single) / £175 (double/twin). A limited number of rooms are available.