Event Entry Form

Event Name: Pub Quiz 30/09/2021

Please complete the fields marked with an asterisk. Use only letters and numbers, no other characters are valid. Thank You.

Title*

First Name*

Surname*

Address1*

Address2

Address3

Post Code*

Email*

Re-enter Email*

Mobile Tel No

Day Time Tel No

Please enter number of tickets required	Per Person-£4.00
	Total Amount Payable £

Other Attendants

first Name*	Last Name*	Email

* completion required

The "Pay Now" link will take you to the PayPal website where you can pay using your PayPal account or with a credit/debit card if you don't have a PayPal account.

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