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:_____________________________