All fees negotiable

RAIDERS OVER THE WIRE

SUBMISSION FORM

Title:..............................

Name:.............................

Address:.........................

City/Town:....................

County:..........................

Postcode:.......................

Telephone Number:......

E-mail:...........................

Function:.......................

Date of Function:..........Date: day: month: year:

Time of Function:......... Time:

Lights Required:............Yes: No:

Hall Size (Person Count):.... People

Would you require a
pre-function consultancy:....Yes: No: