Happy Birthday

Happy Birthday!!!

This is a special "Free Entry" promotion.
However, to qualify ALL mandatory fields must be fully completed.
If any field is incomplete, we will make one attempt to contact you in order to process your free ticket.

Please Complete All Fields

First Name *
Gender *	Male Female
Surname *
Birthday *
Email Address *
Mobile Number *
Full Postal Address *	July 2010
Which Event?	Funny Business @ Cottons (Wed July 14th) Poetry N Motion @ Opal Bar (Sun July 25th) *August 2010* Spanish Harlem @ Apt Bar (Sat Aug 7th) Funny Business @ Cottons (Wed Aug 11th) Poetry N Motion @ Opal Bar (Sun Aug 29th) *September 2010* Spanish Harlem @ Apt Bar (Sat Sep 4th)
How did you hear about us?
Have you ever attended a PE event before?