Mayor of MacclesfieldÕs Charity ÔBeat the Winter Blues!Õ Quiz Night

Friday 24th January 7:30pm

Entry Form

 

Team name: ÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉ..................

(if you wish to be partnered with others to make a team of four, please let us know)

 

Number of people in team: ÉÉÉ..

 

Email address (for confirmation of booking):ÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉ..

 

 

Payment

£6 for two people, £12 for team of four

Cheques payable to ÔMayor of Macclesfield Charity FundsÕ

BACS payments  - Sort Code: 205377 – Account: 53349551 – Ref: MMJQ & surname

I enclose payment of £ÉÉ..
I have made a BACS payment of £ÉÉ

 

Name: ÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉ

 

Signature: ÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉÉ

 

Return by 17th January to:

civic@macclesfield-tc.gov.uk

or

Civic Officer, Macclesfield Town Council, Macclesfield Town Hall, Market Place, Macclesfield, Cheshire SK10 1EA

 

Please note your personal data will only be used for the purposes of the quiz. Entry forms will be destroyed following the quiz night.