Pay for the trip to Chartwell - Hardy Plant Society

To purchase place(s) on this trip please complete this short booking form. Upon completion you will be taken to PayPal to enable you to make the payment.

Trip to Chartwell, Kent	Total Cost
Single Coach only	£19.00
Single Coach & Entry	£33.00

All fields marked * must be completed.

Please select how many tickets you require:

Select Tickets Required:*

Name:*

First

Last

Name of second person:

First

Last

Name of third person:

First

Last

Name of fourth person:

First

Last

Address:*

Street AddressTown/CityPostcode

Telephone Number:*

E-mail:*

If you are a member of the Hardy Plant Society Middlesex Group please enter your membership number below:

Membership Number:

Preferred Pick-Up Point:*

Ruislip - St Martins Approach

Ickenham - Coach & Horses Pub

Hillingdon - Tube Station

Hatch End - Morrisons' Car Park

Are you a member of the National Trust*

Yes

Please provide details of a person who can be contacted in the event of an emergency during the trip -

Name of emergency contact*

First

Last

Telephone Number*

Privacy *

Please tick the box below to confirm your consent to the data entered on this form being used in accordance with the Hardy Plant Society - Middlesex Group, Data Privacy Policy. Click here to view the Data Privacy Policy

I consent to my data entered on this form being used in accordance with the Hardy Plant Society - Middlesex Group, Data Privacy Policy.*

Tick for yes

Welcome

Privacy *

EU e-Privacy Directive