Mayor’s Autumn Charity Quiz

Entry Form

Team name:…………………………………………………………………………………………………

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

Number of people in team: ………..

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

Payment

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

Cheques payable to ‘Mayor of Macclesfield Charity Funds’

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

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

Name:…………………………………………………………………………

Signature:…………………………………………………………………………

Return by 20^thSeptember 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.