2016 Irish Travel Industry AwardsTICKET BOOKING FORM

Round Room at the Mansion HouseDawson Street | Dublin 2

Thursday January 21st 2016

www.irishtravelindustryawards.com

An initiative of the ITAAsupported by Travel Centres,

Worldchoice and Travelsavers

2016 Irish Travel Industry Awards – BOOKING FORMEvent: Irish Travel Industry Awards – Venue: Mansion House Dublin – Date: Thursday January 21st - 2016 – [Black Tie]Pre-dinner drinks reception: 18.15hrPlease complete the required fields and return to:m: Business Exhibitions Ltd, 59 Rathfarnham Rd, Terenure, Dublin 6W, Ireland

f: + 353 (0)1 295 7417 • e-mail: maria@bizex.ie

Further information:

Visit: www.irishtravelindustryawards.com

PAYM

ENT OPT

IONS

CONTA

CT DETAILS

CHEQUE

Nº

CREDIT CARD Visa Mastercard AmEx Laser

The sum of

Made payable to:Business Exhibitions Ltd.Please send to:Business Exhibitions Ltd.59 Rathfarnham Rd,Terenure, Dublin 6W,Ireland

€

Valid from: Valid to: CVC:

Cardholder:

First Name: Job Title:

Mobile: e-mail:

Surname: Company:

Post Code:

Cardholder Address:

NOTE: if paying by personal credit card, please provide home address:

Price includes drinks reception,4 course meal, wine (4 bottles per table),awards presentation and entertainment.

BOOKINGOPTIONS

Date: Signature:

Table/sof TEN x

plusVAT @ 23%

INDIVIDUALplaces x

plusVAT @ 23%€165€1,650

#

There is amaximum of 10 places per table

There is no refundfor cancellationsadvised afterJanuary 1st, 2016

A VAT invoice will beissued once payment hasbeen received

Address: Telephone:

An initiative of the ITAA supported by Travel Centres, Worldchoice and Travelsavers