at the Royal Geographical Society, 1 Kensington Gore, London SW7 2AR on Tuesday 16th April 2013 (doors open at 6pm, lecture at 7pm)
I am a Venice in Peril member and wish to apply for a ticket at £15 and/or
I wish to apply for …….. guest and non-member tickets at £20 each
I enclose a cheque for £…….. made out to The Venice in Peril Fund
I authorise you to debit my Visa/Mastercard for £………………………….
Card No: ……………………………………………………………………………………
Expiry date:………………………. Security code:…………………………….
Cardholder’s name:…………………………………………………………………..
Cardholder’s signature:…………………………………………………………….
I am unable to come but enclose a donation to the Venice in Peril Fund of £ …………
Name…………………………………………………………………………………
Address………………………………………………………………………………
………………………………………………………………………………………..
Tel……………………………….………….Email…………………………………………
Please return to: The Venice in Peril Fund, Hurlingham Studios, Ranelagh Gardens, London SW6 3PA
Tel 020 7736 6891 Email info@veniceinperil.org Web www.veniceinperil.org
Registered Charity No. 262146