Booking for Deaf, deafened or Hard of Hearing PatronsBSL Interpreted performances

Date of booking: * Please use a separate form for each production*

Production Production Type of production BSL Interpreted performance Date Time

Customer Details Name Address

TelephoneEmail

Booking Tickets No. of tickets: @ £ Seats

Total Cost

plus P&P (£1.50)

Please state whether you would like your tickets posted, this is + £1.50. If you are collecting from the box office this is free, but please bring with you the card you used to book tickets with.

Additional Information

Do you have any additional needs? (Please give Details)

Will you be bringing a Hearing dog and if so will you need us to look after it? Please be aware we can only look after a maximum of 4 assistance dogs per performance. Card details Name on card Card numberExpiry date Start dateIssue Number (3 digit) security card on back of card

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