Lee Miller Visit – Booking Form

Name *

First

Last

Email *

Mobile Telephone Number *

I would like to request the following number of places on the visit to Tate Britain on 21 October at £49 per place (includes coach & entry to Lee Miller Exhibition) £30 to Tate Members *

One Place
Two Places
Three Places

Additional Name(s) (if applicable)

Payment Method: *

Bank Transfer Sort Code 30-93-94, Account no. 00280523 (Use ref: "Tate + Your Name")
Payment by card or cheque at next lecture
Other (eg cheque by post)

Comments (Optional)

Name

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