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Viewing: Blog Posts Tagged with: Seymour Sydney, Most Recent at Top [Help]
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1. MonkeyBaa’s adaptation of Susanne Gervay’s ‘I Am Jack’ ~ The Alannah & Madeline Foundation ~ charity show on 7th November

Susanne Gervay's I AM JACK, Charity perfromacne for The Alannah & Madeline Foundation, 7 p.m. 4th November 2011 Seymour

 

Book at:-

[email protected]

 

Susanne Gervay’s

I AM JACK

7pm, Friday 4 November, 2011

Reginald Theatre, Seymour Centre

 

BOOKING FORM

 

Name  _____________________________________________________________________

Tickets available:-

 

Address ____________________________________________________________________

 

 

Telephone (bus) _______________________           (mob) _____________________________

 

 

 

Email ______________________________________________________________________

Date

Ticketing

Total Cost

7pm, Fri 4 November *

______ tickets @ $30 per ticket

$_________

 

 

PAYMENT

 

I have enclosed cash / cheque / money order payable to Monkey Baa for the total of $_______

 

or please charge my credit card – visa/mastercard (please circle)

 

Card No:  ________________________________________ exp date ___________________

Cardholder name:  ____________________________________________________________

 

Cardholder signature:  _________________________________________________________

 

Please mail this form toPO Box553, Broadway 2007 or via fax:  (02) 9036 7037

* tickets will be available for collection at the door.

 

 

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