14th ANNIVERSARY CHARITY BALL 2015 BOOKING FORM 6:00pm Saturday, 10 October 2015 Grand Hall, HKCEC Ticket Price (including Dinner & Unlimited Drinks) No. of seats Total HK$ $34,656 per table of 12 persons x table $ $2,888 per person (Share table with _______________________) x pax $ Delivery to a local address within office hours, charges for up to 12 tickets. Sorry that no delivery service to remote islands.  $150 for Sai Kung and New Territories  $100 for Hong Kong Island and Kowloon area Address:  Regular meal _______ pax  Vegetarian meal _______ pax  Special meal _______ pax  Regular meal will be served unless special request is received by 23 September 2015;  Tickets will be available for collection after 17 August 2015, subject to payment clearance;  Exact table allocation will be revealed on the night of the Ball, not beforehand. PAYMENT METHOD (please tick): * Please complete the attached Mail Order Form * Please make cheque payable to “The Foreign Correspondents' Club, HK – Ball” and send to North Block, No.2 Lower Albert Road, Central, Hong Kong  FCC MEMBER * The amount shown above will charge to your FCC Account in JUNE 2015  CREDIT CARD  CHEQUE Name: Membership No.: Company name as table host (Optional): Contact No. (Bus./Res.): (Mobile) : E-mail : Fax No. : Signature : Date :  All bookings are subject to acceptance and availability.  Confirmation of your order will be sent to you once your order is accepted.  Please complete this form and return it to the FCC at (fax) 2868 4092 / (email) [email protected].  If you do not receive a confirmation within one week, please contact the FCC on (tel) 2521 1511 /(email) [email protected]  The Ball may be cancelled due to force majeure. The Event Provider is excused from performance and shall not be liable for any delay in delivery or for non-delivery, in whole or in part, caused by the occurrence of any force majeure beyond the control of the Event Provider such as, but not limited to fires, civil disobedience, war, riots, rebellions, explosion, flood, storm, acts of God and similar occurrences. TICKETS SOLD ARE NOT REFUNDABLE AS PROCEEDS WILL GO TO CHARITY SPONSORSHIP This is a great opportunity to show that the Foreign Correspondents’ Club cares about the community and further education for underprivileged children. Open your hearts and your checkbooks while having a great time. For more information on sponsorship, please contact Celia Kwong on 9091 4732 email [email protected] Mireya Garcia on 9419 8019 email [email protected] FOR OFFICE USE ONLY FORM RV / PAYMENT RV / BOOKING NO CK / AP / TICKET NO. SIGNATURE Form 20150316 THE FOREIGN CORRESPONDENTS’ CLUB, HONG KONG North Block, 2 Lower Albert Road, Central, Hong Kong 香港外國記者會香港中環下亞厘畢道二號北座 Tel: (852) 2521 1511 Fax: (852) 2868 4092 Email: [email protected] 2015 CHARITY BALL BOOKING MAIL ORDER FORM PLEASE COMPLETE THIS FORM IN ENGLISH & BLOCK LETTERS Cardholder Name Membership Number Correspondence Address Flat / Room /Apt No Estate / Building / Street or PO Box No District / City / Town State and Country Postal Code Daytime Tel No Mobile Credit Card Number - - Card Expiry Date: (Month / Year) The credit card provided shall be valid for at least 60 days Card Type:  Visa  Master Credit Card Issuing Bank: Description of Payment: Transaction Amount: HK$ Date of Event: Venue: Cardholder’s Signature (same as your credit card signature) Transaction Date Note: This order form is used currency Hong Kong Dollars only. For FCC internal use only Merchant ID Authorization Code Authorization Amt Authorization Date