2015 Rugby World Cup Dinner
Friday 22 May ~ East India Club, St James’s Square
Please return your completed form to Dot Jones, Development Office, Barnard Castle
School, Barnard Castle, County Durham, DL12 8UN.
Alternatively to make your payment over the phone – please call 01833 696002
First Name: ………………………….………………….
Family Name: ………………………………………….………
Telephone: ……………………………………….……..
Email address: ……………………………………….…..……
*Postal Address: …………………………………..………………………………………….………………………….………
…………………………………………. *Town / City:……………………………… *Postcode: ….………………………
Events are an opportunity to network, please provide your latest occupation details *2
Company: ………………………………. Job Title: ……………………………….. Function: ……………………….
I am: □ former pupil □Parent of current/former pupil □ School supporter
I wish to purchase ……….. tickets @ £70 each.
Total purchase £ ……………..…….
I wish to purchase ……….. Young Barnardian tickets @ £60 each. Total purchase £ ……....……….….
Grand total: £ ………..………..
Names of additional guests: (continue on reverse as necessary)
Your name: ……………………………………………. Vegetarian? Yes □
Guest 1: ……………………………..………………. …
Other (please state) ……………..……….…..
Vegetarian? Yes □ Other (please state) ….………………………
Where possible, I wish to be seated near the following people/person, who are/is booking separately: …………………………
…………………………………………………………………………………………………………………………………………………………………………….
I wish to pay by:
□ Cheque (please make payable to Barnard Castle School)
□ Bacs payment Bank: Nat West Bank,
Account Number: 74037609, Sort code: 51 61 33 [Please enter your name as reference and return this form]
□ Visa Debit
□ Visa Credit
□ Mastercard Debit
□ Mastercard Credit
□□□□ □□□□ □□□□ □□□□
Valid from: □□/□□ Expiry: □□/□□ 3 Digit Security Code: □□□
Card Number:
Name on card: ………………………………………….. Signature: …………………………………………..
*We can only accept payments from cards registered to the address of the contact given above.
All details provided will be used to process the event booking. Financial details will be securely disposed of after use and all contact data will be used to update our records. Details
held may be used to periodically provide you with upcoming Barnardian-related initiatives, including School development. To support networking, events and reunion efforts [2*],
Old Barnardian member records will be updated and member email address will be shared on the password protected member community platform. Please contact Dot Jones in
the Development Office to opt out of future mailings or sharing your email with other OBs.