BOOKING FORM
RTÉ NATIONAL SYMPHONY ORCHESTRA 2015–2016
CUSTOMER NO. (OFFICE USE ONLY)
PLEASE TICK THE CONSENT BOX BELOW TO HEAR ABOUT ADDITIONAL BENEFITS/EVENTS FROM THE RTÉ NSO CONSENT BOX
I would like my contact information to be given to the RTÉ National Symphony Orchestra
DON’T FORGET TO TICK THE BOX!
When making a telephone or in-person booking remember to tell the National Concert Hall box office representative that you would like your details to be given to RTÉ in order to hear more about benefits and upcoming events.
Get the most from the RTÉ National Symphony Orchestra Under the Data Protection Act 2003, information provided to the National Concert Hall at the time of booking CANNOT be passed on to RTÉ without your written or verbal consent.
Please use BLOCK CAPITALS to complete this form TITLE
FIRST NAME
SURNAME
TEL (Home)
ADDRESS
TEL (Work)
MOBILE
PAYMENT Please tick payment type Single payment by:
3 monthly payments by:
Cheque/postal order/bank draft
Visa
enclosed made payable to National Concert Hall
AMEX
AMOUNT
€
Scheduled payment plan Terms and conditions apply. Check with National Concert Hall Box Office or see page 70 of 2015–2016 Season brochure.
CREDIT CARD ACCOUNT NUMBER
EXPIRY
NAME ON CARD
AUTHORISED SIGNATURE
Master card
DATE