TICKET APPLICATION FORM

Please print and fill in this page and send it with your cheque to:
Alexander Suscenko
c/o The Lansdowne Club
9, Fitzmaurice Place
London W1J 5JD

Title:_____________________________

Name:_____________________________

Address to send tickets:
_____________________________
_____________________________
_____________________________
_____________________________

Number of dinner tickets at £98 per ticket:_____________________________

Number of after dinner tickets at £50 per ticket:_____________________________

Name/s of Guest/s:_____________________________

Telephone:_____________________________

Email address:_____________________________

Number of vegetarian meals requested:_____________________________

I enclose a cheque made payable to “RSB” to the value of:_____________________________