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  'A Night Less Ordinary' application form
   
  Please fill in this application form. You do not have to fill in the bits that are optional but it would be helpful if you did.
   
  You will be emailed within 2 days of your application to tell you whether you have been given a free ticket. Free tickets will be awarded to the first 10 people who return this application form. If you are lucky enough to be given a free ticket please arrive in good time on the night of the performance with a proof of age card, driving licence or passport. If you cannot make it to the performance please contact Take Art on 01460 249450 in advance.
   
 
 
:
:
*Age:
*Gender

*Postcode:
*Venue:
Can we add you to Take Art’s mailing list?
Would you be happy for Audiences Yorkshire to
email or post you a survey about this free ticket opportunity?
If you answered ‘no’ to the question above, would you be happy
for Take Art to send you the survey instead?

 *required
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
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