Burns Night - ticket request

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Please complete the following form to request tickets for the 2021 Burns Night event.
Contact details provided will only be used in connection to this event, however if you would like to join our mailing list, please submit your details on our webpage: https://www.hornchurchpp.co.uk/mailing-list

Email *

Name *

We will ask you to ensure you use this as your Zoom name when you attend the event so that we can authenticate your tickets.

Number of tickets required *

Each device joining the event will need a ticket

Payment method *

The charge is £5 per device joining the Zoom call. We will contact you once you have submitted your form to confirm your payment.

Paypal (preferred)

Credit or debit card

Cheque

Would you like to add a small donation to your purchase? Enter amount below if so.

If you have opted to pay by credit or debit card, we do pay a small admin fee per transaction for this service - if you're able to make a small donation to help cover this it would be greatly appreciated. Any donation will be added to the payment request.

A copy of your responses will be emailed to the address you provided.

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