The Ying Quartet

Reservation-by-Lottery Form

at the William Andrews Clark Memorial Library

Sunday,
March 18, 2012
2:00 p.m.

To be included in the drawing please fill out and print this form. It must be postmarked or hand delivered to the Center no later than February 10, 2012.

Maximum number of persons per form: 2

Admission: $25 per person

Students: $10 per ticket for UCLA students only. Please submit a copy of your valid student ID along with your check, payable to UC Regents. Payment can also be made in person at 310 Royce Hall by the above deadline.

 

Name:

Address:

Phone:

E-mail address:

Number of Persons:

Amount Enclosed:

 

 
 

Reservations will be confirmed, or forms and checks returned by mail on February 24, 2012.

Please enclose a check, payable to UC Regents, and send it together with a printed copy of this form and a self-addressed stamped return envelope to the

UCLA Center for 17th- & 18th-Century Studies
310 Royce Hall
Box 951404
Los Angeles, California 90095-1404

[Campus mail code: 140403]