Please complete as appropriate Total Total
Table(s) @ £500 per table of 10
Ticket(s) @ £50 per person
£ .
£ .
£ .
£ .
Enclosed Payment of
Enclosed Sponsorship Donation of
* Donation to Children in Crisis or sponsorship donation is NOT necessary to take part in the quiz, and will NOT count towards ticket/table payment.
I Enclose a Cheque made payable to Children In Crisis (Tickets) or Archbishop Tenison’s School (Sponsorship Donation)
Please Debit my Credit/Debit card details:
Card No. Card Security No.
Start (MM/YY) End (MM/YY) Issue No. (Where applicable)
Name:
Email:
Phone No,
Mobile No.