Expression of Interest for Jetty Memorial Theatre seats

    Full Name (Required):

    Organisation:

    Contact details

    Email (Required):

    Phone (Required):

    Address (Required):

    Alternate Address:


    Seating Available

    Wooden Base 4 seat (21 available):

    Wooden Base 5 seat (7 available):

    Iron Base 4 seat (14 available):

    Iron Base 11 seat (8 available):

    Iron Base 12 seat (one available):

    Donation to JMT trust (per seat):


    I am willing to be contacted for a follow-up story on the new location of seats:
    YesNo

    Please tell us about your interest in claiming seats:

    Which of the following best describes you or your organisation:

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