1. Please record your name *


2. Please record your National HASSRA membership number
(For those based in Leeds please note any number prefixed with LEE is not your National HASSRA number. This number is for HASSRA Leeds and the Forum purposes only) *


3. Please record your email address *


4. Please record a contact number *


5. Please record the name of your local HASSRA club *


6. Please indicate which performance you would like to book tickets for *


7. Please state how many tickets you would like to purchase (each HASSRA member can purchase 2 tickets at the discounted price and any additional tickets at full price) *


8. Please state any special requirements here e.g if there is another member you would like to sit beside or if you require an aisle seat etc. Please also state the name and HASSRA number of any additional members that are on your booking.

We cannot guarantee any special requirements but we will do our best.


9. Please tick this box to confirm that you understand by pressing submit you are requesting to purchase the tickets above and you will be contacted by HASSRA Yorkshire & Humber for payment of these and you wish to proceed with your booking.