Summer Cabaret booking form

"*" indicates required fields

Name*

First Last

Email*

Address*

Street Address Address Line 2 City Postcode

Telephone*

Do you require disabled parking facilities

Yes

Tables

Table size is 10 & 12 people - it may be necessary for smaller parties to share a table*

I agree

Are you joining a table booked by someone else? If so, please give the name of your table host.

Are you happy to share a table with other guests?

One price tickets *

Price: £ 85.00

I would like to make a donation towards the work of the hospices

Please enter the amount you would like to donate

Total

Data protection

In accordance with the Data Protection Act (2018) we do not disclose to or share your personal information with any third-party organisations. We would, however, like to keep you informed about our own events.

You can pay by credit or debit card. All payments are made through our secure processing platform Stripe. If you have any questions please contact [email protected]

Credit Card*

Name

This field is for validation purposes and should be left unchanged.