Fax: 2904 7111

A Charles Dickens Christmas, a musical Special Offer to HKU Alumni

Reservation form Subscription Deadline: 13 Dec 2013

21 / 12, 3pm & 8Pm

24 / 12, 8pm

26 / 12, 3pm

Auditorium, Yuen Long Theatre Date & Time Original Price 10% off No. of

Tickets Total Sum

Adult

$280 / $220 / $160

Adult $252 / $198 / $144

Student/CSSA/Senior/Disable $140 / $110 / $80

(First 2 tickets only)

Adult

$280 / $220 / $160

Adult $252 / $198 / $144

Student/CSSA/Senior/Disable $140 / $110 / $80

(First 2 tickets only)

Grand Total: Notes: One ticket per person Completed the reservation form with the crossed cheque or bank transaction slip. Cheque orders should be crossed and made payable to “THEATRE NOIR FOUNDATION LIMITED” Bank information: 020 624 200 5181 5 Wing Lung Bank Please contact Ms. Flora Yeung at 2904 7118 or via email florayeung@theatre-noir.hk if have questions Name: _____________________________________________________________________ Address: ____________________________________________________________________ Phone No : __________________________________________________________________ Fax : __________________________________________________________________ Email Address : __________________________________________________________ Mobile No : ______________________________________________________________ Signature : _______________________________