Fields marked with a * are required Event Name Your Name* Your Email* Contact Number* Ticket Price & Quantity* £ x UPDATE Tallage I am a Liveryman and wish to claim TallagePlease enter "1" if just for yourself or actual number if you also have qualifying guests. Please note: Tallage is only available once in each financial year(Oct-Sept) to Quarterage paying Liverymen and Yeomen. Additional Guests Title First Name Surname Honours Dietary Requirements? I wish to be seated near another party TOTAL: £ Note: If you pay by credit card you will be transferred to Lloyds Cardnet website. No credit card details will be entered or retained on any Fuellers website or server. All tickets should be paid for before the event date. If paying by Cheque please print this form, fill it in and send it with your cheque to The Clerk at Skinners Hall, 8 Dowgate Hill, London, EC4R 2SP No refunds on cancellations within 7 working days of the event. VAT Number: 875 7084 81
