Tickets
Tickets have now sold out, If you would like to attend you can still book tickets and will be put on a waiting list, thank you!!
Please remember that by submitting this application, you are committing to pay for the number of tickets requested; proceeds will be going to charity.
Name:
Miss
Mrs
Ms
Mr
Dr
Prof
Status:
Student
Academic/Visiting Fellow
Life Member
Other
If checked other, please specify:
E-mail address:
Phone number:
Number of Gala tickets:
1
2
3
4
5
x £ 15
I would like to make an additional donation of:
£ 2
£ 5
£ 10
£ 20
Other:
Comments/Special Requests:
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