Barn Dance and Supper, Saturday 9th November 2019 with the Hogs Back Band in the main hall at Samuel Cody School 7.00-10.00 pm

----------------------------------- Application for tickets -----------------------------------

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Dietary requirements (if any): ………………………..………………………………………...……..

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Please return this slip, together with a cheque for £15 per person made out to Farnborough U3A,

to Annette Heck, 19 Chatsworth Road, Farnborough, GU14 7DY

If you want an acknowledgement of your payment, fill in your email address or supply an SAE