Please complete this form and a member of our team will be in touch to discuss your event requirements. Contact Name: Company: Job Title: Address: Postcode: Telephone: Mobile: Fax: Email: Type of Event: Date: Date:: Day Day12345678910111213141516171819202122232425262728293031 Date:: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Date:: Year Year20182019202020212022202320242025 Number of Delegates/Guests: Approximate Budget: Outline of event details and specific requirements: Privacy Your data will be processed by Levy, part of Compass Group, and IWM to arrange your event. For more information, please read the Levy privacy policy and IWM’s privacy policy. To receive information Levy Restaurants UK at HMS Belfast may from time to time contact you with offers e-newsletters and information. Please tick the box if you would like to receive this information.