ORDER FORM

How many in party

Number of Adults:-         _______

NUmber of Children:-     _______

Number of Dogs:-          _______

Number of Raffle tickets  £1.00 per ticket   ______

Day Time Contact Phone No___________________

E-Mail Address :- _________________________________________________

n.b. we will not pass on your email address or phone number to any 3rd parties and they are purely used for administration purposes

Please send payment (with cheques payable to Music For Life) and contact details with a stamp addressed envelope to:

Music for Life, C/O A.Boalch, ST Faiths, Barline, Beer EX12 3LP.