Registration Burns' Ceilidh 2019
Date
26 January 2019
19:30 - 22:30
Venue
Wijkcentrum Unitas
Vlokhovenseweg 49
5625 WV Eindhoven


Please answer all the questions. Navigate through the form by using TAB.

Name *
Last or family name first followed by given name
Your answer
Address
Your answer
Telephone nr
Your answer
E-mail *
Your answer
How many in your party?
Your answer
Please fill in your guest's names.
So that you need not all arrive at the same time!
Your answer
Would you like to pay in advance? *
Entree 17,50 per person---------- It would help us greatly if tickets are paid for in advance by transferring the correct amount to our bank account NL06 INGB 0000 0920 62 in the name of the Thistle Club of Scottish Country Dancing, stating your name and the number of tickets.
Would your party like normal haggis?
How many?
Your answer
Or would your party like vegetarian haggis?
How many?
Your answer
Any special requests?
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