Please reserve a table of 10 seats at £100 per seat (Tables of 10 only please)
• Tables of 10 • £100 per head • 7pm Fizz reception • Gala dinner • Live band • Midnight snacks • Black tie • Optional fancy dress • Carriages at 2am
To pay directly please use the following details:
Account Name: Shipston Home Nursing Lloyds Bank, Shipston-on-Stour
Account number: 70776760
Sort code: 30-98-26
Reference: Circus Ball and your full name.
If you prefer to pay by cheque then please print out and fill in this form. Please make cheques payable to Shipston Home Nursing. Please send this application together with your remittance to: Rebecca Mawle, Lower Farm Barn, Great Wolford, Shipston-on-Stour, Warwickshire CV36 5NQ
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