Iran Heritage Foundation

IRAN HERITAGE FOUNDATION

NOROUZ REGISTRATION
(Printer Friendly Form)

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 ___ Pounds
I have pleasure in enclosing a donation of ___ Pounds

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.