Annual Charity Gala Dinner

TERMS & CONDITIONS

I have read and agree to the Terms and Conditions of this event*

Yes

Amount of tickets you would like to purchase*

Full Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Any dietary requirements / allergies or mobility restrictions?*

We are only able to accommodate 10 guests per table. If you would like to purchase tickets for more than 10 guests, please submit this form with your initial 10 guests and then submit an additional form for any additional guests*.

*We will do our best to seat your additional guests at tables nearest to your original table of 10

Please note, that if you purchase more than 1 ticket, you will be the primary contact and will have the responsibility of payment in full as well as communicating any information to your other guests.

Guest #2*

First NameLast Name

Guest #2 - Any dietary requirements / allergies or mobility restrictions?*

Guest #3*

First NameLast Name

Guest #3 - Any dietary requirements / allergies or mobility restrictions?*

Guest #4*

First NameLast Name

Guest #4 - Any dietary requirements / allergies or mobility restrictions?*

Guest #5*

First NameLast Name

Guest #5 - Any dietary requirements / allergies or mobility restrictions?*

Guest #6*

First NameLast Name

Guest #6 - Any dietary requirements / allergies or mobility restrictions?*

Guest #7*

First NameLast Name

Guest #7 - Any dietary requirements / allergies or mobility restrictions?*

Guest #8*

First NameLast Name

Guest #8 - Any dietary requirements / allergies or mobility restrictions?*

Guest #9*

First NameLast Name

Guest #9 - Any dietary requirements / allergies or mobility restrictions?*

Guest #10*

First NameLast Name

Guest #10 - Any dietary requirements / allergies or mobility restrictions?*

THANK YOU FOR YOUR RESERVATION

The total costs of your resersvation is:

£75

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£150

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£225

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£300

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£375

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£450

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£525

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£600

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£675

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

THANK YOU FOR YOUR RESERVATION

The total costs of your reservation is:

£750

To secure your reservation, we kindly ask that you complete the full payment to the bank account listed below within the next 7 days. Please note that if payment is not received within this timeframe, your reservation may be subject to cancellation.

Sort Code: 40-52-40

Account Number 00034752

Account Name: My Cancer My Choices

Reference: Gala Dinner 2025

I would like to become a supporter of MCMC and receive newsletter updates*

YesNo

How did you hear about this event?*

If applicable, please share the name and surname of your connection to/contact at MCMC

First NameLast Name

Do you have any further special requests?*

By sumbitting this form you agree to receive any further communications from My Cancer My Choices in regard to the Gala Dinner