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NOROUZ
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Registration
I wish to purchase
___ tickets at 150.00 Pounds each
and
___ tickets under 30 years old at
90.00 Pounds each
___
Table (s) of 10
___ Table
(s)
of 11 ___ Table
(s)
of 12
I enclose a payment of
£ ___
I have pleasure in enclosing a donation of
£ ___
Method
of payment:
___
Cheque
(payable to the Iran
Heritage Foundation)
___ Credit
card
Please
debit my credit card (VISA, Mastercard and Amex only)
___ VISA
___
Mastercard
___ Amex
| Card
Number |
________________________ |
| Expiration
Date |
________________________ |
| Name
on Card |
________________________ |
| Signature |
________________________ |
Please
fill in your name and address in block capitals
|
| Name |
________________________ |
| Address |
________________________ |
| City |
________________________
|
| Postcode
|
________________________
|
| Country |
________________________
|
| Tel |
________________________
|
| Fax |
________________________
|
| Email |
________________________
|
Please print and return
this form, with UK cheque, banker’s draft in UK sterling or
credit card details to: Norouz Registration, IHF, 5 Stanhope
Gate, London W1K 1AH. If paying by credit card you can also fax
your registration to
020 7499 9293.
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