Order form

To order tickets please complete the form below
-- or --
alternatively click here to print a form to complete by hand

Please reserve me
		table/s of 10 at £950	or		places at £95 each
Total of order	£ 0.00

Personal Details
Name			Host		(if different)
Address
Town
County
Postcode
Telephone			Email

Party Members
	Title First Name Surname Vegetarian

Please make cheque payable to 'Ruby's Summer Ball' and send to:

Hannah Matthews    Hedgerose, Cholesbury Lane, Buckland Common, Tring. HP23 6NQ.

(We would have liked to take bookings via credit card but due to Mastercard's commission
we have decided to only take cheques to allow the maximum contribution to the charity.
Credit card machine/facilities will be availiable on the night.)

All proceeds to go to The Neuro Intervention Fund No. 735096