Organisation*

Contact Person*

Telephone*

Email*

Position in Organisation

Address

Principal Activity

Special Requirements

Number of pitches required (standard size 5m x 5m)

Adjacent pitches required (N.B. Pitches will be allocated on the day)
YesNo

PAYMENT

I/We have paid electronically to the Newbury Lions Club Charitable Trust Fund Metro bank account number: 20174757 Sort Code: 23-05-80.

Please add a reference to your payment instruction for verification purposes

General Data Protection Regulations (Data Protection Act 2018)

Personal data provided in this form will be used solely by the Lions Club of Newbury for Speen Fete 2020 administrative purposes and will not be disclosed to a third party unless requested for legal reasons by law enforcement agencies.