Please complete this form. This is not for use by businesses.

First name

Surname

E-mail

‘Phone

Event date

Event time

Event title

Promoter eg. society, personal

Event description

Venue

Ticket price or enter NA

Ticket availability eg. at the door, e-mail, ‘phone, address, web-site or enter NA

Contact name

Contact e-mail

Please complete all boxes. Thanks.