Event Ticket Form
Wuthering Sunday
Dance like Kate Bush in the music video to Wuthering Heights
Event Date & Time
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Event Location
State / Province
Event Organizer
Ticket Type
£10 donation ticket to dance
£15 donation ticket to dance
£20 donation ticket to dance
£40 donation ticket to dance
Other amount ticket to dance (£10 minimum please)
I don't want to dance but would love to donate in memory of Louise
Other
Number of Tickets
Billing Address
Name
Street Address
City
Phone number
Email address
Payment Method
Donate via Justgiving page below
Pay via this link!
PLEASE NOTE: Please go to this link to pay: www.justgiving.com/page/wuthering-sunday-stoke
All money raised will go to Pink Sisters and Misters Charity
Submit
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