Event Information


Date:      Saturday 28th September 2019

Venue:   Intercontinental Park Lane, One Hamilton Place, Park Lane, Mayfair, W1J 7QY

Time:      6 pm for Drinks Reception 


The ticket price for this fundraising dinner is £150.00 per person. The cost per table is £1,500. Prices included below include a booking fee and postage & packaging for tickets.


To book your ticket/(s) please complete ALL sections of the below booking form. Should you have any queries please call the ACLT office on 020 3757 7700.


Each table seats a maximum of 12 people and some of these tables will include a Celebrity Table Host and their guest. All tables with a Celebrity Host are booked on a first come, first served basis.


Please remember to include you/your guests dietary requirements in the additional comments at the end of the booking form.  Please type the guest names with the dietary requirements alongside it.


Individual ticket + booking fee + p&p


Table of 10

Table of 10 + booking fee + p&p


Final Total:

Contact Information

State / Province*
Confirm Email*


PLEASE NOTE: If you wish to purchase a full table of 12 (without a Celebrity Table Host & their guest, please provide the full names for all 12 guests attending (including yourself as lead guest).

Number of Guests
Guest 1 Full Name (Lead Guest)
Guest 2 (Full Name)
Guest 3 (Full Name)
Guest 4 (Full Name)
Guest 5 (Full Name)
Guest 6 (Full Name)
Guest 7 (Full Name)
Guest 8 (Full Name)
Guest 9 (Full Name)
Guest 10 (Full Name)
Guest 11 (Full Name)
Guest 12 (Full Name)




Should you not be seated at the table of your preferred Celebrity Table Host, there will be ample opportunity for you to meet him/her during the course of the evening.  Plus we have so many fantastic table hosts, we know you WON'T BE DISAPPOINTED.

Data Protection and Privacy Assurance:


By completing and signing this form you are giving consent for your details to be held by ACLT. All information provided to ACLT is used in accordance with the General Data Protection Regulation and all other relevant privacy and data protection laws. You can withdraw your consent at any time and your details will be removed from our mailing list. To do this or find out more about your privacy rights please visit our website www.aclt.org or call us on 020 3757 7700


Terms & Conditions: 

  1. For cancellation within two months of the booking, 50% of your deposit will be retained.
  2. For cancellation within one month of the booking, 100% of your deposit will be retained.
  3. Parties must arrive at the event, no later than 6.30 pm to ensure dinner is served promptly.
  4. We reserve the right to seat attendees according to numbers and seat availability.

By submitting this form you confirm you have read the terms and conditions and that you wish to go ahead with the booking.

Please note; we do not take American Express.  For those who wish to pay by American Express, please call the ACLT office on 020 3757 7700

Payment Information

Name on Card*
Card Number*
Additional Comments

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