<p> Ticket Booking Form – Lincolnshire Sports Awards 2017 sponsored by Riseholme College, a part of Bishop Burton College</p><p>Ticket 1 – Lead Name:</p><p>Tel: Email:</p><p>Do you consider yourself to have a disability? Yes □ No □ If yes, do you require anything to assist you at the Awards Evening? (The facilities are fully accessible to chair users)</p><p>Do you have any food allergies or dietary requirements? (please specify)</p><p>Ticket 2 – Name:</p><p>Tel: Email:</p><p>Do you consider yourself to have a disability? Yes □ No □ If yes, do you require anything to assist you at the Awards Evening? (The facilities are fully accessible to chair users)</p><p>Do you have any food allergies or dietary requirements? (please specify)</p><p>Ticket 3 – Name:</p><p>Tel: Email:</p><p>Do you consider yourself to have a disability? Yes □ No □ If yes, do you require anything to assist you at the Awards Evening? (The facilities are fully accessible to chair users)</p><p>Do you have any food allergies or dietary requirements? (please specify)</p><p>Address for all tickets to be sent to (including postcode): </p><p>If you are attending in support of a shortlisted nominee, please provide details of who they are so we can try and seat you near or on their table.</p><p>IF YOU REQUIRE ANY MORE THAN 3 TICKETS PLEASE EMAIL [email protected] AS TICKETS ARE AT A PREMIUM.</p><p>Tickets are priced at £55 each and the deadline to book tickets by is Friday 6th October 2017. Please note that on this occasion we can only accept cheques and they should be made payable to ‘Lincolnshire Sports Partnership’. Please write the lead name on the reverse of the cheque. Please make sure you have enclosed a cheque for the total number of tickets requested and return the form/s to: Lucy Blakey, Active Lincolnshire, Eco One, Highcliffe Farm, Ingham, Lincoln, LN1 2WE</p>