www.jonnywilkinsontestimonial.com

Celebrate the historiC aChievements of Jonny Wilkinson

in the Company of international stars & Celebrities from the Worlds of rugby, sport and entertainment

the Great room

Grosvenor house hotel

london w1

wednesday 24th september 2014

all talent subject to final availability. images © getty images.

the Jonny Wilkinson testimonial Committee will donate a substantial amount of funds raised during the testimonial event to Jonny’s chosen

causes. these will include, amongst others, charities such as the tiny lives trust, dreamflight, the nspCC, the brain tumour Charity and action

for a-t whom he has supported throughout his career.

Supporting:

registered Charity nos: the tiny lives trust 1150178, dreamflight 1117303,

nspCC 216401 & sC037717, the brain tumour Charity 1150054 & sC042096

and action for a-t 1145303.

tiCkets from £495 plus vat

for booking & further information please ContaCt:

+44 (0)20 8704 4141 JonnyW@fireball.Co.uk @JWtestimonial

drinks reCeption: 7.00pm

dinner: 7.30pm

Carriages: 3.00am

dress Code: blaCk tie

NAME .........................................................................................................................................................................................................................

COMPANY ...................................................................................................................................................................................................................

ADDRESS......................................................................................................................................................................................................................

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POSTCODE ...................................................................................................................... TELEPHONE ........................................................................

EMAIL ...........................................................................................................................................................................................................................

TABLE HOST ..................................................................................................................................................................................................................

WORLD CUP TABLES - SOLD OUT

Please reserve ........ DROP GOAL TABLES of 12 guests £8,500 plus vat each

Please reserve ........ TRY TABLES of 12 guests £5,940 plus vat each

Please reserve ........ TRY INDIVIDUAL PLACES £495 plus vat each

Bookings of between 1-11 places may be seated with other parties.

Presenting Partner opportunity available on request.

Please send me an invoice for the sum of £ ..............................

Please find a cheque enclosed for the sum of £ ..............................

Cheques should be made payable to ‘Fireball Ltd’

Please tick here if you wish to pay by credit card

We shall call two weeks prior to the event to take your credit card payment. Please ensure you have completed your telephone number in the section above.

Please note: All credit cards will incur a 4% fee. Debit cards do not incur a fee.

Signature: Date:

PLEASE SEND YOUR COMPLETED FORM

FAX: +44 (0)20 8704 4140

EMAIL: jonnyw@fireball.co.uk

Or post your booking form & cheque to:

Jonny Wilkinson Testimonial c/o Fireball Ltd, First Floor, Park House, 14 Northfields, London SW18 1DD

For further information call +44 (0)20 8704 4141

Cancellation Terms: 90 days – 25% of total price, 60 days – 50% of total price, 30 days – 100% of total price.

Please note: Booking confirmations will be emailed and posted the same working day your booking form is received.  If you do not receive this written confirmation please call to confirm receipt of your booking on +44 (0)20 8704 4141.

Fireball reserves the right to refuse admission to the Event to any person under the age of 18 whose attendance has not been approved in advance in writing, or to any persons seeking to accompany such persons.

If you do not wish to receive any further information from Fireball regarding upcoming events, please tick this box

Fireball will occasionally share your information with other companies. If you do not wish your details shared in this manner, please tick this box

ALL TALENT IS SUBJECT TO FINAL AVAILABILITY

THE GREAT ROOM,

GROSVENOR HOUSE HOTEL,

PARK LANE, LONDON, W1K 7TN

WEDNESDAY 24TH SEPTEMBER 2014 EVENT BOOKING FORM

• Full Page Advert in the Event Brochure

• Secondary Table Positioning

• Drinks Reception

• Four Course Dinner

• Bottle of Wine Per Person

• Bottle of Water Per Person

• Drinks Reception • Four Course Dinner • Half a Bottle of Wine Per Person

• Drinks Reception • Four Course Dinner • Half a Bottle of Wine Per Person

WWW.JONNYWILKINSONTESTIMONIAL.COM

The Jonny Wilkinson Testimonial Committee will donate a substantial amount of funds raised during the Testimonial event to Jonny’s chosen causes. These will include, amongst others, charities such as The Tiny Lives Trust, Dreamflight, The NSPCC, The Brain Tumour Charity and Action for A-T whom he has supported throughout his career.