THE REIGATE SOCIETY
    The Civic Society for Reigate, Redhill and Merstham
Members' Evening tickets application form - BLOCK letters please
 
Please print this form and fill it in
 
I apply for tickets for the Members' Evening on 06 Oct 2008
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Name - with Mr Mrs Miss Ms etc please
 
 
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Address - with postcode please
 
 
 
 
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Telephone number
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How many tickets do you require ?
 
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Tickets cost £10.00 each - please enclose
a cheque for the correct amount
made
payable to The Reigate Society - thank you
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Please also enclose a stamped addressed
envelope
- thank you
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Date
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Signature
 
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Please send the completed form (with cheque and SAE)
to the Hon Secretary of the Reigate Society
    Michael Hellings,   53 West Street
    REIGATE,   RH2 9BZ       Phone 01737 245 342
   
Thank you
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