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0121 647 7151

Advance booking recommended

Voucher Purchase Form
Please print out on this form on your printer and complete it. Then post it with your cheque to:
Away2dine
Ltd., Quayside Tower, 252-260 Broad Street, Birmingham, B1 2HF.
Luxury Cruising Restaurant
YOUR NAME __________ __________ __________
ADDRESS __________ __________ __________ __________ __________ POSTCODE __________
MEAL

Sunday Roast/Bank Holidays*
Evening Dinner Cruise*
Special*
Specific Value*

* Delete as inappropriate
IF 'Special' GIVE DETAILS _________________

DRINKS EXTRAS

HOUSE WINE @ £12.95 per bottle to value of £_______

  CHOICE OF WINE FROM LIST to value of £_______
  SPECIFIC VALUE OF WINE + DRINKS £_______
SPECIAL EXTRAS FLOWERS to value of £_______ (from £10)
  BIRTHDAY CAKE to value of £_______ (from £20)
  DECORATIONS to value of £_______ (from £10)
VOUCHER VALUE £_______ (Please insert value in multiples of £5)

NUMBER

_______ people  

CAPTAINS TABLE

_______ people This accommodates 6 people of slight stature, we recommend 4. Booking on this table carries a £5 per person surcharge.
Name & Address of the person receiving voucher if you require us to post direct to them.
NAME __________ __________ __________
ADDRESS __________ __________ __________ __________ __________ POSTCODE __________
Do you want the Gift Voucher to be sent in a Gift Card?  YES/NO* This costs £3 extra.

TELEPHONE

 __________ __________ (DAYTIME OR EVENING*)

MOBILE

 __________ _____ Please ensure you have this with you and switched on 2 hours before the booking.

EMAIL

 __________ _____ Do you require an Email confirmation YES/NO*

ACCESS

Please tick if anyone in your party requires special access arrangements.
We undertake to NOT pass this information to a third party. Please tick the box if you do not want to receive any promotional offers in the future.
PAYMENT
I Include a cheque for the Voucher (plus gift card if required).
Voucher Booking Conditions: A voucher booking by the reciprocant of the voucher and/or the person paying for the voucher will be deemed to be under similar Terms and Conditions as a normal booking whereby a deposit has been paid. If the booking is cancelled by default, which is failure to arrive or cancel within a 48 hour period prior to Restaurant Boat departure, the voucher will be deemed as used therefore it will be cancelled and no longer valid. We regret having to apply these conditions but, under the situation where we are compelled to have one sitting there is no therefore opportunity to resell the table once the restaurant boat has departed, it is essential to protect our business.

For further information please ring 0121 647 7151 or email enquiries@away2dine.co.uk