Manifest East 2024 Registration

Name: *

First

Last

Email: *

Mobile Number:

Name of an emergency contact: *

First

Last

Do you have any medical conditions you think we should be aware of? *

Yes
No

Please tell us about them:

Do you have any special dietary requirements you would like us to take account of? *

Yes
No

Please tell us about them:

Are you looking to come with friends*? Please tell us how many:

* Multiple bookings qualify for a discount. Please contact Andy at andy.andywood@gmail.com or 07717 055543 to make the booking for more than one person.

Sign-up for notifications:

I would like to receive email updates regarding future events

Choose your ticket: Early Bird Prices valid until 30 June 2024 *

Standard - £165 (£190 if booked after July 1)
Concessionary - £125 (£150 after July 1) (I confirm I am eligible with an income of less than £15000 per year)
Weekend Ticket - £110 (£120 after July 1)
Multi-ticket - Contact Andy to discuss

Contact Andy at andy.andywood@gmail.com 07717 055543

How would you like to pay? *

Cheque (details will be emailed after submitting this registration)
Bank transfer (details will be emailed after submitting this registration)

I have read and agree to the Terms & Conditions below: *

Yes

Signed: *