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at

Bromsgrove Folk Club

xth x 20xx

Ticket Type

Ticket Price

No of Tickets

Total £’s

Bromsgrove Folk Club Member

£xx

Non Member

£xx

Total Remittance £’s

Please insert details of where you want the tickets to be sent: -

Name

Address

Post Code

Telephone No

*e-mail address

* Insert your e-mail address if you would like to be on our mailing list

Detailed maps and directions will be sent with tickets

Cheques / Postal Orders payable to: Bromsgrove Folk Club

Print off this form and

Please send it with a Stamped Addressed Envelope to

Cynthia Bignell, 31, Moorpark Road, Birmingham,

B31 4HB