Application Form

I wish to apply for tickets as follows:

______ double non-dining at £172 in the names of:

______ double dining at £226 in the names of:

______ single non-dining at £88 in the name(s) of:

______ single dining at £115 in the name(s) of:

I wish to purchase:

______ posters at £2 each

______ t-shirts at £10 each (one-size)

I enclose a cheque for £______
made payable to Queens' College Ball Account

Name:

Address:

Please send the completed form with your cheque to:

Queens' May Ball Application Box
Queens' College

Cambridge

CB3 9ET