Confirmation

THANK YOU FOR CONFIRMING YOUR ATTENDANCE TO

The fireplace of conversation

Date: 19th June 2014

Time: 5.30pm-8.30pm

Venue: Mike’s Kitchen Bryanston, 298 Main Rd

Dress code: casual/ informal

To assist us in preparing for the evening kindly check your details as per the below form and complete title, organization and special dietary requirements:

Your Name (required)

Your Surname (required)

Your Contact Number (required)

Your E-mail (required)

Your Title (required)

Your Organization (required)

Special Dietary Requirements