Graduation Ceremonies July 2015 ADDITIONAL GUEST TICKETS Please return to graduation@kcl.ac.uk Southwark Cathedral – School of Medical Education – 3rd July at 10.15 PLEASE INCLUDE YOUR STUDENT NUMBER AND CEREMONY DATE /TIME IN THE SUBJECT OF YOUR EMAIL WHEN SUBMITTING THE FORM Each student is able to request a maximum of two additional tickets. By completing and returning this form you are agreeing to purchase the number of tickets you have indicated below. Tickets will be allocated on a first come first serve basis, until there are no tickets left. Tickets are subject to availability and completion of this form does not guarantee ticket purchase. You will only be contacted if your application for additional tickets has been successful. YOUR DETAILS Student Number (please note this is not the K number) Full name GUEST TICKETS Tickets cost £25 and include entrance to the ceremony and post-ceremony reception. Please indicate how many tickets you 1 extra guest ticket would like to purchase: 2 extra guest tickets Payment method (please delete as debit card / credit card appropriate) Type of card (if applicable) Mastercard / Visa / Maestro / Solo / UK Delta Name of card holder Card Number Expiry date Card security code number (three digit number on reverse of card) Date If sending via email please mark the box opposite with an ‘x’ to confirm that you give permission for the above card details to be used. Graduation Office, King’s College London, James Clerk Maxwell Building 57 Waterloo Road, London SE1 8WA Tel 020 7848 3790/3380 Email graduation@kcl.ac.uk