Gala Dinner Booking Form - HTI

BOOK YOUR
PLACE NOW
THE HTI EVENT OF THE YEAR!
Wednesday 12 October 2011 | 7pm - midnight
The Banqueting House, Whitehall, London SW1A 2ER
The HTI 25th Anniversary Gala Dinner will be a memorable evening for sponsors and guests alike. In addition to
the spectacular setting, fine dining and stimulating company, a celebrity speaker will provide inspiration. Topping
the evening off will be a charity auction to raise funds for Inspire.
This is a rare opportunity to engage with some of the country’s leading figures within the breathtaking venue of
Banqueting House, with all its royal splendour. This prestigious charity event is in aid of Inspire, an innovative
peer mentoring scheme which changes the lives of young people.
A guest list drawn from leading education figures, including key policymakers and school leaders, major business
people, and the worlds of politics and the media, will make this a gathering of the informed, the influential and
the in-touch.
VISIT US AT WWW.HTI.ORG.UK FOR MORE INFO OR CALL US ON 024 7641 0104

BOOKING FORM
HTI Gala Dinner & Charity Auction | Wednesday 12 October 2011
Please complete this form in BLOCK CAPITALS and send to Tracey Maude, HTI, Herald Court, University of Warwick
Science Park, Coventry, CV4 7EZ Tel: 024 7641 0104 Fax: 024 7641 5984 Email: t.maude@hti.org.uk
Title: Mr/Mrs/Ms/Other: ….…… First Name …………..………………….………… Last Name ……………...............................
Position ……………………………..…………………..… School/Organisation ……………………………..…………………..…................
Telephone ………………………...............….................................................... Email……………………..….............................
Invoice Address: ........................................................... Delivery Address: (if different) ...................................
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Postcode: .......................................................................... Postcode: .................................................................
Individual Seat: £125.00 + VAT Table of Ten: £1000.00 + VAT
Number of Seats: ............................. Number of Tables: .............................
Total Amount: .............................. Total Amount: ..............................
Tickets will be dispatched upon receipt of payment.
Payment Details
Please send me a VAT Invoice. PO Number (if applicable) ..........................
Please find enclosed a cheque for the full amount
(Cheques should be made payable to ‘Heads, Teachers and Industry Ltd’ and sent to the address above)
Authorised Signature………..…………………..……………..................….............. Date........……..........................................
(Please sign as acknowledgment of this booking)
This booking form constitutes a legally binding contract.
Usual terms and conditions of business apply.
Heads, Teachers & Industry Ltd
Registered Company No. 2308265 | Registered Charity No. 1003627
Please tell us how you heard about this event...
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VISIT US AT WWW.HTI.ORG.UK FOR MORE INFO OR CALL US ON 024 7641 0104