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Hearts and High Rollers Ball tickets
Get your Hearts and High Rollers Ball tickets
Hearts and High Rollers Ball
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What ticket type would you like to purchase?
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Individual ticket(s)
Table of 10
Individual ticket
Quantity
Price:
£ 80.00
Quantity
Table of 10
Price:
If you've selected more than one ticket, please give the names of all attendees (these can be emailed to organisers at a later date if needed)
Title
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Miss
Mrs
Mr
Mx
Ms
Dr
Other
Name
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First
Last
Email
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Phone
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Address
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Address Line 1
Address Line 2
City
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Postcode
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
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Belarus
Belgium
Belize
Benin
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Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
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Bulgaria
Burkina Faso
Burundi
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Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
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Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
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Djibouti
Dominica
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Korea, Republic of
Kuwait
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Lebanon
Lesotho
Liberia
Libya
Liechtenstein
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Luxembourg
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mayotte
Mexico
Micronesia
Moldova
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Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
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Sudan
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Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
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Togo
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Tuvalu
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US Minor Outlying Islands
Uganda
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Uruguay
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Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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Do you, or does anyone in your group, have any dietary requirements?
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No
If yes, please give details
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I'm signing up to this event…
Please select
In memory of a loved one
To support Birmingham Hospice
For fun
I've attended previous events
I work or volunteer at the hospice
Other
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How did you hear about Hearts and High Rollers?
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Would you also like to donate today?
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Yes, I will donate £10
Yes, I will donate £20
Yes, I will donate £50
Yes, I will donate £100
No thank you
£10 donation
Price:
£20 donation
Price:
£50 donation
Price:
£100 donation
Price:
Drinks pre-orders
Pre-orders are available for your table. Details of packages can be found below.
Wine and Sparkling Packages
House Wine (Two bottles: one red, one white or two of the same) – £50
House Prosecco (Two bottles) – £75
House Wine (Two bottles of House Wine, one red, one white)
Quantity
Price:
£ 50.00
Quantity
House Prosecco (Two bottles)
Quantity
Price:
£ 75.00
Quantity
Beer and Cider Package
Includes Estrella, 1664 Blanc or Thatcher’s Blood Orange
Bottled Beer & Cider Bucket: Ten bottles of mixed bottled beer and cider – £52
Bottled Beer & Cider Bucket (ten bottles of mixed bottled beer)
Quantity
Price:
£ 52.00
Quantity
Terms and conditions
By signing up to this campaign, you are consenting to receiving ALL information about this campaign. We would ALSO like to keep in touch with you about our vital work and update you on our news and fundraising activities. Please tell us if you would be happy for us to contact you:
By email
By SMS
We may also contact you by telephone and/or post. If you wish not to be contacted by post or telephone, please tick here:
Opt out of telephone
Opt out of post
Terms and conditions
*
By signing up to this event I agree to the following T&Cs:
1. I / we accept that by signing up to this event I / we are consenting to receiving ALL information about this event. I / we accept the responsibility of informing Birmingham Hospice should I wish not to receive event specific communications. 2. I / we acknowledge that Birmingham Hospice will take all reasonable steps to minimise the risk of accident or injury to participants during this event. I / we accept full responsibility for ourselves whilst participating in this event and understand that Birmingham Hospice cannot accept liability for any loss or damage to personal property, injury or death. 3. I / we confirm that I am sufficiently fit and healthy to take part in this event. Should this change, I / we will seek medical advice prior to the event. 4. I / we understand that Birmingham Hospice may photograph or film me as a participant, and that such photographs and footage may be used for commercial and / or fundraising purposes in the future. I / we accept the responsibility of informing Birmingham Hospice should I wish to not be photographed. 5. I/ we take full responsibility for any costs attributed to our participation in this event and will not deduct any expenditure from funds raised. I / we accept the responsibility to ensure that all fundraising monies/donations received in connection with this event are paid to Birmingham Hospice (we kindly ask that you do this as soon as possible after the event). 6. I / we accept that should I / we no longer be able to take part in this event, I / we will be unable to claim a refund for my fee. 7. I / we agree to abide by any rules, instructions and regulations given before, or on the day of the event by event officials. I / we accept Birmingham Hospice’s right to refuse entry to participants. 8. I / we accept that Birmingham Hospice reserves the right to reduce, alter, change or cancel the event to accommodate unexpected conditions or complications on the day that may affect participants, volunteers and staff.
I agree
Total
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