Complete and return this section together with a cheque made payable to: Queens College of Guyana Alumni Association or VISA/Mastercard informaiton to the above address
Name: __________________________________________________ # of tickets: ________
Address: ____________________________________________________________________
City: ______________________________ Province/State: _________________________
Postal/Zip Code: ____________________ Telephone: _____________________________
Paying by: Cheque [ ] Visa [ ] Master Card [ ]
Card No.: ____________________________________ Expiry Date: ___________________