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Booking for D/deaf, deafened or Hard of Hearing Patrons STAGETEXT Captioned performances

Date of booking:

* Please use a separate form for each production* Production Production Type of production Date Time

STAGETEXT Captioned Performance

Customer Details Name Address Telephone Email Booking Tickets Seats Total Cost

No. of tickets:

Please state whether you would like your tickets posted, this is + £1.50. If you are collecting from the box office this is free, but please bring with you the card you used to book tickets with.

plus P&P (£1.50) Additional Information Do you have any additional needs? (Please give Details) Will you be bringing a Hearing dog and if so will you need us to look after it? Please be aware we can only look after a maximum of 4 assistance dogs per performance.

Card details Name on card Card number Expiry date Start date Issue Number (3 digit) security card on back of card -----------------------------------------------------------------------------For Globe use only: Booking taken by Date booking taken Date booking processed Booking reference number Date tickets sent


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