Gift Voucher Application Form
Please complete, print and sign this form, and send it with your payment to:
The Curzon Community Cinema, 46 Old Church Road, Clevedon, North Somerset, BS21 6NN
Name(s)
Address
-
-
-
Telephone (optional)
Please send me
(number)
Adult Curzon Gift Vouchers at £5.50 each
(number)
Child/Concession Curzon Gift Vouchers at £4.50 each
+ £0.50 p&p
Total enclosed £
Signed __________________________
Where to send the vouchers (if different to details above)
Name(s)
Address
-
-
-
Message (optional)
