THE ANVIL ACCESS LIST

Please complete this form and return it to:

Post:
Access List, The Anvil, FREEPOST BZ 735, Churchill Way, Basingstoke,
Hants, RG21 1BR

Email: box.office@theanvil.org.uk

Contact telephone number: 01256 844244



NAME:

ANVIL ACCOUNT NUMBER: 

ADDRESS:




POSTCODE:

TELEPHONE DAYTIME:

TELEPHONE EVENING: 

TELEPHONE MOBILE:

EMAIL:

FAX:


Access Requirements: (Please mark all that apply)

1. Aisle seat

2. Space for assistance dog

3. Accompanied by an essential carer (only available if you require assistance from 
another person in order to attend The Anvil)

4. Wheelchair space

5. Infra-red hearing enhancement (Headsets reserved with refundable deposit of œ5)

6. Seating requirement for another reason; please specify 


7. Information in alternative formats; please specify 


Please note that providing this information is not a guarantee that suitable places 
will be available at all performances.


People who intentionally give false information will be taken off the Access List 
and asked to leave the venue. The list will be monitored regularly.


DECLARATION:

I have a disability as defined by the Disability Discrimination Act (1995).

Signed 

Date 


USE OF YOUR PERSONAL INFORMATION:

Members of the Access List will be sent a free copy of the quarterly Anvil 
brochure.

1. Please mark a cross if you do not want to receive this.

2. Please mark a cross here if you would prefer not to receive updates about 
other events, developments and activities at the Anvil in addition to your Access 
List information.