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 12 Oct 2009 ---------------------------------------------------------------------------- Name - with Mr Mrs Miss Ms etc please     ---------------------------------------------------------------------------- Address - with postcode please         ---------------------------------------------------------------------------- Telephone number ---------------------------------------------------------------------------- How many tickets do you require ?   ---------------------------------------------------------------------------- Tickets cost £10.00 each - please enclose a cheque for the correct amount made payable to The Reigate Society - thank you ---------------------------------------------------------------------------- Please also enclose a stamped addressed envelope - thank you ---------------------------------------------------------------------------- Date ---------------------------------------------------------------------------- Signature   ----------------------------------------------------------------------------   Please send the completed form (with cheque and SAE) to the Hon Registrar of the Reigate Society     John Angel,   25 Beaufort Road     REIGATE,   RH2 9DQ       Phone 01737 242 672     Thank you	HOME PAGE   PREVIOUS PAGE