— Reservation-by-Lottery Form —
The Bennie Maupin Ensemble, December 12, 2004

If you are unfamiliar with our reservation-by-lottery policy, please click here for an explanation.


To be included in the drawing this form must be postmarked or hand delivered to the Center no later than November 15, 2004.

Maximum number of persons per form: 2
Admission: $20 per person

Name __________________________________________________________________________________

Address ________________________________________________________________________________

_______________________________________________________________________________________

Phone Number ____________

Number of persons (1-2) _____

Amount enclosed ($20 per person) _____

Reservations will be confirmed, or forms and checks returned by mail on November 29, 2004

Please enclose a check, payable to UC Regents, and send it together with a copy of this form and a self-addressed stamped return envelope to the

UCLA Center for 17th- & 18th-Century Studies
310 Royce Hall
Box 951404
Los Angeles, California 90095-1404

[Campus mail code: 140403]


Return to The Bennie Maupin Ensemble program.
Return to Chamber Music at the Clark, 2004–05.