Friends of Worth
“Casablanca” Summer Ball
Saturday, 6th May 2017
Ticket and Table Application Form
TO APPLY FOR TICKETS, PLEASE COMPLETE THIS FORM AND EITHER PRINT AND
RETURN IT TO THE ADDRESS PROVIDED BELOW, OR SCAN AND E-MAIL IT TO
[email protected]
1
No. of tickets 1
2
Do you wish to make
up a table of 10?
3
All Guests’ Details
4
For parties of less than 10:
Yes/No
First Name
Table orders will be confirmed on receipt of all
(ten) guests’ names (see 3 below) & full payment.
Surname
First Name
Dietary Requirements
Surname
Please provide details
of anyone with whom
you wish to sit. 2
5
Which house(s) is/
(are) your child(ren)
in?
House(s)
Which year group (s)
is/(are) your child(ren)
in?
Year
Group(s)
6
First Name
Who is the primary
contact for this
request?
Surname
e-mail address and
telephone number(s)
1
Tickets will be provided in the form of an e-mail confirmation on receipt of a
completed order form and payment for the full amount. If paying by cheque, please
make it payable to “Worth School”, mark the reverse with “Casablanca Ball” and send
it to:
Claire Acock,℅ Worth School, Paddockhurst Road, Turners Hill, West Sussex RH10 4SD
If paying by BACs, the details are: HSBC, sort code: 40-18-22, A/C: 22126532
Please use the reference F112 and your surname.
Whilst we will make every attempt to fulfil seating requests, we are unable to guarantee
that we will be able to do so in all cases, especially where applications are received
close to the date of the Ball.