Group Ticket Application Form

Group application for the 56thNational KFA AGM Saturday 5 October 2013

Please post to:Queries:

Lesley Levey, Berkshire

10 Wellington Mansionsor by post

Ardwell Close

Crowthorne, RG45 6AG

Contact details of person applying for ticketsplease write clearly using BLOCK CAPITALS

Name / Membership No.
Address
Postcode
Email / Phone

Please send me tickets for the following people(don’t forget your own!)please write clearly using BLOCK CAPITALS:

Please indicate what is required by placing a cross in the relevant boxes e.g.

1 / Membership No: / 010101 / Name: / LESLEY LEVEY (name in capitals please)
Member £12 / X / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / X / Total £38.95
1 / Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT givepermission for your images to be used, please place a cross here ……..
2 / Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
3 / Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
4 / Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
5 / Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Continued on next sheet...... or...... Grand total £

ChecklistPlease complete and place a cross in each box to confirm

Cheque enclosed payable to Southern Counties KFA for £ / Cheque number
Stamped addressed envelope enclosed for tickets and programmes. Envelope size: C4 (324 x 229 mm)
2nd class postage: 2-3 tickets = 50p 4-10 tickets = 69p 11-19 tickets = £1.10 20+ tickets = £1.40 (Postal rates as at 3 June 2013)

Group application for the 56th National KFA AGM … continuation sheet, if required

Person applying for tickets

Name / Membership No.

Please send me tickets for the following additional peopleplease write clearly using BLOCK CAPITALS:

Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Membership No: / Name:
Member £12 / Non-member £15 / Team performer £8 / Friday gala dinner £26.95 / Total £
Photographs and/or filming will be taken at this event to be used by the promoters and/or the EMDP for publicity purposes.
If you DO NOT give permission for your images to be used, please place a cross here ……..
Continued on next sheet...... or...... Grand total £

Please complete the Checklist at the bottom of the first page.

All organisations involved in the production and delivery of our events are aware that participant involvement can necessitate considerable

time and financial commitments. We would like access to these opportunities to be open to all and as such would urge you to make

contact with your local, if applicable, otherwise national association to discuss opportunities for support should you require it.