Love Life Dinner
April 19th, arrival 18:00 - 18:30. David's Bar and Restaurant, Hilversum
RSVP
Would you like to attend the Love Life Dinner?
*
Yes
No
How many tickets would you like to purchase?
*
1
2
Full Name
*
First Name
Last Name
Plus One (if applicable)
First Name
Last Name
Phone number
*
E-mail
*
example@example.com
Back
Next
Group
If you are attending with a larger group, please let us know their full names below so we can seat you at a table together
Back
Next
Menu
Main course?
*
Chicken
Vegetarian
Main course plus one? (if applicable)
Chicken
Vegetarian
Do you have any dietary requirements?
*
Back
Next
Payment (€85,- per person)
Please use the QR code below to complete the payment. You can also use the following link: https://tikkie.me/pay/Fightcancer/mqQuzSendbpebHgUbZNBpa
Have you payed?
*
Yes
No
Back
Next
Thank you so much for registering for the Love Life Dinner!
We look forward to seeing you on April 19th at David's Bar and Restaurant Hilversum.
Comments & Questions
Please enter any questions on your mind or concerns that you do not see listed on the form
Submit Form
Should be Empty: