— Reservation-by-Lottery Form —
Sequenza , November 6, 2005

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

Lottery Deadline: October 10, 2005.
Maximum number of persons per form: 2
Admission: $20 per person

Seats at the Clark Library concerts are awarded by lottery because of high demand and limited capacity. To participate in the lottery, please complete the attached form (no more than two names per form) and mail it or hand deliver it to the Center for 17th- and 18th-Century Studies at the address provided below. Your application must be postmarked, or hand delivered no later than October 10, 2005.

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 October 24 , 2005

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]

An opportunity to support Chamber Music at the Clark:
If you don’t win the lottery for this concert but would like to donate the amount of your
check to the Clark Library Chamber Music Fund, please initial here ______________.
Thank you!

To arrange for wheelchair access, please call the Center one week in advance. .