Reserve Order Form

Reservations for our 2009/10 programme can now be made using this form

Please reserve the following tickets for me at the door:

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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 Duo Transatlantique
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 18 tickets Membership number (if buying at member rates) Tick here if you can't remember
Special requirements
How did you hear about this recital?	Please select This website Other website Word of mouth Poster Newspaper article Leaflet
Tick here if your journey will take more than 30 minutes
	*Please enter the letters opposite in this box. We regret that this is necessary to combat junk mail.