See bottom of page for payment details.

Personal Details
Booking Form

User Name:

Optional

 

Not too long please.

This is totally optional. Some people for personal reasons would prefer not to use their own name when speeddating.

Cork Event:

Waterford Event:

Please choose the event you wish to attend.

First name:
Surname:
Sex:
Male   Female Please tick Male or Female
Age:
Email:
Telephone #1:
Numbers only (Mobile)
Telephone #2:
Numbers only (Landline) Optional
Profession:

Or something about yourself.

Where did you hear about us?

Optional.

Please type in the names of the other applicants in your group. It helps us to avoid confusion.
Are you using someone else's credit card to pay? Please enter the name of the credit card holder here.

Please tick if the cheque is in the post.

Please tick if you are paying by Paypal below

Are you finished with the above applicant?

If you are please hit the submit button below. (or Reset to clear your details & start again)

After your submission has been accepted please return to this page again (Green arrow, top left corner) and enter the details for further applicants in the same manner above.

(Press the RESET button below to clear the previous applicants details)

...€35 for 1 person.


Further Applicants.

...€66 for 2 people (€2 discount each)
...€96 for 3 people (€3 discount each)
...€124 for 4people (€4 discount each)
...€150 for 5 people (€5 discount each)


If you are sending a cheque please make your booking above & your place will be reserved for three days only while we wait for your cheque. See address on Contacts page.

  • We have recently installed the PAYPAL system to take your payment. PAYPAL is probably the worlds most popular & secure system for paying on line and is used by AMAZON & E-BAY.
  • Your credit card details are only visible to PAYPAL and are not available in any way, shape or form, to Velo Promotions or anybody else.
  • To book simply fill in the form above and click "Submit" to send your details to us.(Your submission will be confirmed)
  • After you have submitted your details to us you can pay by clicking on the Paypal icon.This will bring you into Paypals secure website where you can give your credit card details etc. You will be given plenty of opportunity to review your payment before commiting to the payment.
  • Once your payment has been received it will be confirmed on the screen and an e-mail will be sent to yourself & Velo Promotions confirming the payment.

Back to top of page