Ticket Purchase Form

Notification of Bank Transfer Payment

PLEASE COMPLETE AND SUBMIT THIS FORM BEFORE MAKING YOUR PAYMENT. IF WE DO NOT RECEIVE YOUR PAYMENT WITHIN 5 DAYS, WE RESERVE THE RIGHT TO CANCEL THIS APPLICATION

Using the gig information below please check the 'Cash Price' of the tickets you are purchasing, multiply it up by the number of tickets you want to buy and this will give you the amount to pay. Complete the details below for our records, submit the form and then make your payment for the full amount to......

 Account Name : 

Emsworth Music Club 

 Account Number:  

13515596

 Sort Code :            

08-71-99

Fields marked * are required to be completed

As soon as we receive your payment, we will send your tickets to you in 2 working days, subject to availability.