Listings Request Form

Print your form and fill it in by hand. Post your form to Playing Out HQ, 19a Whitnash Road, Whitnash, LS, CV31 2HW. Or fax your form to 08706 223269.

Event name: (e.g. Quiz night, Salsa dancing, etc.)
Venue: (include postcode or address information)
Times: (include start and end times)
Prices: (full & concessions)
Additional info: (please limit this to approximately 10 words or 70 characters)
Weblink: (optional)
Dates: (include all dates for this listing)

Your details We may need to contact you to verify details regarding your request.

Your name:
Your role: (e.g. Promoter, Venue Manager)
Contact address: (including postcode)
Phone number(s):
Email address:
Your PO ref#: (if known)