Tickets Reservation Form

Event :    Saturday, 7 april 2012 - 9e Bierbeek Blues'd up Festival
  Name : required field. *
  Forname : required field. *
  Full address : required field. *
  Land : Selecteer een item. *
  Telephone number :
  e-mail : required e-mail field.required e-mail address. *
  Amount of tickets : *
  Comment :
    * required field

I agree with the following statement:
The organisation 'Bierbeek Blues'd Up can be obliged to change the program.
In this case the entrance ticket remains valid and can not be exchanged or refunded.
Finch the box to agree the statement please.