Contact Name:________________________________________________

Address:____________________________________________________

_____________________________________________________________

Postcode:___________ Telephone Number:_______________________

Number of Tables (10 per table)______ or Number of Seats:_______

Tables are £450 plus VAT. Tickets are £50.

Cheques should be made payable to Altrincham Football Club Limited and returned with this form marked for the attention of Grahame Rowley.

Telephone Number: 0161 928 1045 or 07720-606897 or e-mail

Grahame Rowley, Vice-Chairman, Altrincham F.C., Moss Lane, Altrincham, Cheshire WA15 8AP