ITIA Awards Table Booking Form 2016

2016 Irish Travel Industry Awards
TICKET BOOKING FORM
Round Room at the Mansion House
Dawson Street | Dublin 2
Thursday January 21st 2016
www.irishtravelindustryawards.com
An initiative of the ITAA
supported by Travel Centres,
Worldchoice and Travelsavers
2016 Irish Travel Industry Awards – BOOKING FORM
Event: Irish Travel Industry Awards – Venue: Mansion House Dublin – Date: Thursday January 21st - 2016 – [Black Tie]
Pre-dinner drinks reception: 18.15hr
m: Business Exhibitions Ltd, 59 Rathfarnham Rd, Terenure, Dublin 6W, Ireland
f:
+ 353 (0)1 295 7417 • e-mail:
PAYMENT OPTIONS
BOOKING
OPTIONS
There is a
maximum of
10 places per table
There is no refund
for cancellations
advised after
January 1st, 2016
CONTACT DETAILS
A VAT invoice will be
issued once payment has
been received
First Name:
Table/s
of TEN x
maria@bizex.ie
€1,650
CHEQUE
The sum of
Visit: www.irishtravelindustryawards.com
INDIVIDUAL
places x
CREDIT CARD
Visa
€165
Price includes drinks reception,
4 course meal, wine (4 bottles per table),
awards presentation and entertainment.
plus
VAT @ 23%
Mastercard
AmEx
Laser
Nº
€
Made payable to:
Business Exhibitions Ltd.
Please send to:
Business Exhibitions Ltd.
59 Rathfarnham Rd,
Terenure, Dublin 6W,
Ireland
Surname:
Address:
Mobile:
plus
VAT @ 23%
Further information:
#
Please complete the required fields and return to:
e-mail:
Valid from:
Valid to:
CVC:
Cardholder:
NOTE: if paying by personal credit card, please provide home address:
Cardholder
Address:
Job Title:
Company:
Telephone:
Post Code:
Date:
An initiative of the ITAA supported by Travel Centres, Worldchoice and Travelsavers
Signature: