Sparkling Hearts Charity Ball
Friday 16th November 7.00pm - 1.00am
Roxburghe Hotel, 38 Charlotte Square, Edinburgh EH2 4DR

First Name


Last Name


Address




Town/city


Postcode


Contact number


Email (for registration confirmation only)

How many tickets would you like?
1 2 3 4 5 6

Cost: £60 per person