Gala de Celebração do Décimo Aniversário do CISE

Full Name*

Name+Surname

E-mail*

example@example.com

Contact*

Please insert a valid contact.

Will you be accompanied?*

YesNo

Number of accompanying guests:*

Name of the accompanying guest:*

Name of the second accompanying guest:*

Name of the third accompanying guest:*

Name of the fourth accompanying guest:*

Name of the fifth accompanying guest:*

Please indicate your preferred main course:*

[Fish] Bacalhau Lascado, com Espinafres Salteados, Batata a Murro e Broa de Milho Regional (Shredded Cod with Sautéed Spinach, Potatoes and Regional Cornbread)[Meat] Bochecha de Porco com Aroma de Canela e Alecrim e Migas de Broa e Couve (Pork Cheek with Cinnamon and Rosemary Aroma and Cornbread Crumbs and Kale)

Please indicate the preferred main course for your accompanying guest:*

[Fish] Bacalhau Lascado, com Espinafres Salteados, Batata a Murro e Broa de Milho Regional (Shredded Cod with Sautéed Spinach, Potatoes and Regional Cornbread)[Meat] Bochecha de Porco com Aroma de Canela e Alecrim e Migas de Broa e Couve (Pork Cheek with Cinnamon and Rosemary Aroma and Cornbread Crumbs and Kale)

Please indicate the preferred main course for your second accompanying guest:*

[Fish] Bacalhau Lascado, com Espinafres Salteados, Batata a Murro e Broa de Milho Regional (Shredded Cod with Sautéed Spinach, Potatoes and Regional Cornbread)[Meat] Bochecha de Porco com Aroma de Canela e Alecrim e Migas de Broa e Couve (Pork Cheek with Cinnamon and Rosemary Aroma and Cornbread Crumbs and Kale)

Please indicate the preferred main course for your third accompanying guest:*

[Fish] Bacalhau Lascado, com Espinafres Salteados, Batata a Murro e Broa de Milho Regional (Shredded Cod with Sautéed Spinach, Potatoes and Regional Cornbread)[Meat] Bochecha de Porco com Aroma de Canela e Alecrim e Migas de Broa e Couve (Pork Cheek with Cinnamon and Rosemary Aroma and Cornbread Crumbs and Kale)

Please indicate the preferred main course for your fourth accompanying guest:*

[Fish] Bacalhau Lascado, com Espinafres Salteados, Batata a Murro e Broa de Milho Regional (Shredded Cod with Sautéed Spinach, Potatoes and Regional Cornbread)[Meat] Bochecha de Porco com Aroma de Canela e Alecrim e Migas de Broa e Couve (Pork Cheek with Cinnamon and Rosemary Aroma and Cornbread Crumbs and Kale)

Please indicate the preferred main course for your fifth accompanying guest:*

[Fish] Bacalhau Lascado, com Espinafres Salteados, Batata a Murro e Broa de Milho Regional (Shredded Cod with Sautéed Spinach, Potatoes and Regional Cornbread)[Meat] Bochecha de Porco com Aroma de Canela e Alecrim e Migas de Broa e Couve (Pork Cheek with Cinnamon and Rosemary Aroma and Cornbread Crumbs and Kale)

Please indicate if you or any of your accompanying guests have any dietary restrictions or food allergies.*

If none, please type "N/A".

Total Payment

Payment Method*

Bank TransferCashMB WAY

MBWAY transfer details (only available in Portugal):

MBWAY number: 966 611 061

Total: {totalPayment}€

Description: Please include your name followed by the name "Gala". Example: Nome+Gala

Bank transfer details:

PT IBAN: PT50 0018 000340560658020 65

BIC/SWIFT: TOTAPTPL

Total: {totalPayment}€

Description: Please include your name followed by the name "Gala". Example: Nome+Gala

Once you proceed to your bank transfer payment, please send the proof to the email address (cbcise@gmail.com)

Cash details:

The payment is made in cash to one of the members of CISE C&B, at CISE | LSE, COVILHÃ, PORTUGAL.

Total: {totalPayment}€

Payment must be completed no later than five days prior to the date of the Gala.

CISE 10th Anniversary Gala

1. Personal Information

2. Attendance Confirmation

3. Event Menu

4. Payment