First name

Surname

Phone number

E-mailadres

Date of Bingo and Karaoke night Date of Bingo and Karaoke nightMarch 22nd 7:00 PMApril 19th 7:00 PMMay 3, 7:00 PMMay 24th 7:00 PMJune 7th 6:00 PMJune 21st 7:00 PMJuly 19th 7:00 PM

Number of persons Number of persons1234567891011121314Private Group

Package choice Package choiceBingo and Karaoke evening 1.5 hours (including 2 drinks per person)

Men or women group both men and womenmen groupwomen's group

any invoice details any invoice details Ja Nee

Company name

Factuuradres

City + zip code

Message

General Terms and Conditions General Terms and Conditions I hereby accept the general terms and conditions