Mobile phone number
If this is a GROUP BOOKING please add details for the remainder of your group:
1. Name Email Participating as
2. Name Email Participating as
3. Name Email Participating as
4. Name Email Participating as
5. Name Email Participating as
Suggested donation £12 per singer £ Box 1
£10 per audience member £ Box 2
I am unable to attend but am pleased to donate £ Box 3
If you are UK tax payer, do you wish to Gift Aid your donation to Supporting Older People?
I require buffet tickets at £6 per head totalling £ Box 4
TOTAL Remittance £
If the TOTAL Remittance is NaN, check that each box 1-5 has a valid number. 0 (zero) is valid but O as in OK is not.
Either by cheque, number payable to Nidderdale Messiah and posted to:
Nidderdale Messiah, Community House, 46-50 East Parade, Harrogate HG1 5RR
Or BACS to: Sort Code 05-04-54, A/C Number16684961, with this name as Reference
I am a Blue Badge holder and request a parking permit
Your booking confirmation and further information will be sent to you via email or text message.
Web: www.nidderdalemessiah.org.uk Email: firstname.lastname@example.org Tel: 07392 988579
If you wish to keep a record of your booking, PRINT before you SEND.
Hire @ £5 payable on the day
Buy @ £10 payable on the day