Advance Order Form

Please use the form below to order your tickets. Please allow one week for delivery.

Fields marked * are required.

Title	Please select Mr. Mrs. Ms. Miss. Dr. Rev.
Name*
Telephone no*
Email address*
Event*	Please select an event Recital by Charles Ramirez
Number of adult tickets (non-member) @ £12.00 Number of student tickets (non-member) @ £6.00 Number of adult tickets (member) @ £8.00 Number of student tickets (member) @ £4.00 Number of free under 16 tickets Membership number (if buying at member rates) Tick here if you can't remember
Post or collect	I'll collect on the night Post tickets I am enclosing a stamped addressed envelope
How did you hear about this recital?	Please select This website Other website Word of mouth Poster Leaflet Newspaper article
Special requirements or address details
Tick here if your journey will take more than 30 minutes