Shoot Ball – Application Form

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BASC Central England
End of Season Shoot Ball
27th February 2016
7:30 pm – Late
BASC would like to celebrate the end of the shooting season with you by hosting a Black Tie
Shoot Ball at the prestigious venue Hoar Cross Hall in Staffordshire. The evening will consist
of a 3 course game dinner, sporting auction, live music from ‘The Buddies’ and a
disco/dance
Venue: Hoar Cross Hall, Maker Lane, Burton-on-Trent, Staffordshire, DE13 8QS
Price: £60pp for BASC members £70pp for non BASC members
Name
Number of Guests
Guest Names
Address
Telephone
Email Address
BASC membership number
Do you or your guests have any
medical needs we should be aware
of?
Do you or your guests have any
dietary needs we should be aware
of?
Where did you hear about the
event?
Total amount to pay
Please complete the form and send to BASC Central England, Unit 6, Grange Farm, Belmot Road,
Tutbury, Burton upon Trent, DE13 9HJ
Overnight Accommodation
A limited amount of rooms are available at the venue for the night of the 27th February. The
cost is £160 per room based on 2 people sharing with bed and breakfast. Guests staying at
Hoar Cross Hall will have use of the spa facilities from 2pm on the 27th February and the
following day.
If you would like to book accommodation please fill in the form below;
Number of rooms
Total Cost
Game Dinner choices
Please let us know what you and your guests would like for the Game Dinner;
Starter
Quantity
Tea smoked duck breast with port jelly and orange salad
Rich Game and vegetable broth
Roasted vine tomato and red onion tart with walnut crumb
Main Course
Sauté guinea fowl breast, braised leg with fondant potato and rich red wine sauce
Grilled salmon with chive butter sauce, samphire and crushed new potato
Pot roasted pheasant and shallots with blue berry sauce and creamed potato
Desert
Vanilla panna cotta with mixed berry compote
Passion fruit tart with peppered meringue and passion fruit curd
Chocolate layered cake with white chocolate cream
Please complete the form and send to BASC Central England, Unit 6, Grange Farm, Belmot Road,
Tutbury, Burton upon Trent, DE13 9HJ
50% is payable upon application to secure booking, and final 50% due 31st January 2016
Payment
Total Payable…………………………
Cheque: Date received ……………………...………..…..
Cheque: Should be made payable to BASC and accompany the application form to BASC Central
Region, The Grange Farm, Belmot Road, Tutbury, Burton on Trent, DE13 9HJ.
Card details: Call the central office to make payment over the phone 01283 810910 or fill in
your details below
Name on Card……………………………………………………………………………………...…………….
Card Type: Visa debit / Electron / Visa credit / Mastercard / Maestro/ other
(details)…………………………………………
Card number ………………………………………………………………………………………………………
Expiry date ……….….../…….........Start date (if applicable)……...…../……..….. Security code…………
Issue number (Maestro only)……………….. Total payable….……………………………………………….
Please complete the form and send to BASC Central England, Unit 6, Grange Farm, Belmot Road,
Tutbury, Burton upon Trent, DE13 9HJ
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